Active NPI
Abhishek Kumar, M.D
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Glastonbury, CT
National Provider Identifier
1083028484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 61798
- Practice address
- 628 Hebron Ave Ste 300
Glastonbury, CT 06033-5018 - Phone
- (230) 518-3004
- NPI assigned
- Jun 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 61798 | CT | Primary |
Addresses
Primary practice location
628 Hebron Ave Ste 300
Glastonbury, CT 06033-5018
Mailing address
200 Andrews Way Apt 206
South Windsor, CT 06074-6995
Phone (631) 833-1160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, ME, RI, NH, MA, NY, VA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61798 | CT | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carelon Medical Partners of Kansas, PA | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- akumar20536@carelonhealth.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
MA, ME, NH, NJ, OH, RI, VA
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Leawood, KS
- NPI 1952831422
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1083028484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ANDREWS WAY APT 206",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060746995",
"telephone_number": "631-833-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 HEBRON AVE STE 300",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060335018",
"telephone_number": "230-518-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "ABHISHEK",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-13",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "CT",
"license": "61798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.