Shashi A.M. Kumar, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

00011996 Issued in AL

Practice address

4030 Pepperwood Cir SW
Huntsville, AL 35801-6499

Phone

(256) 539-6536

Fax

(256) 539-1504

NPI assigned

Jun 15, 2005

Reactivated

Mar 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Allergist of Florida LLC

  • Allergy & Immunology Physician
  • Birmingham, AL
  • NPI 1386596245
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083619225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 PEPPERWOOD CIR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016499",
            "telephone_number": "256-539-6536",
            "fax_number": "256-539-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 PEPPERWOOD CIR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016499",
            "telephone_number": "256-539-6536",
            "fax_number": "256-539-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SHASHI",
        "middle_name": "A.M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AL",
            "license": "00011996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydnee Kucenski, MS MH CLINICAL COUNS
• Lauren Emily Kuiper, PMHNP-BC, AGACNP-BC
• Prithvi Kukkadapu, M.B.B.S
• Tarun Kukkadapu, MBBS
• Vinaya Hindane Kulkarni
• Scariya M Kumaramangalam, M.D.
• Rachel Kummer, CRNP
• Keith Michael Kunze, CRNP
• Bernard A Kurecki, MD
• Ibukunoluwa Oluwapelumi Kusimo, DO

• Allergy Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Allergy Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.