Individual provider Active NPI

Anil Kumar, M.D.

  • Internal Medicine Physician
  • Allentown, PA
National Provider Identifier
1093778359
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD429319 Issued in PA
Practice address
4332 Creek Rd
Allentown, PA 18104-3397
Phone
(484) 619-3160
NPI assigned
Apr 8, 2006
Last updated
Jan 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036113231 IL
Internal Medicine Physician 207R00000X MD429319 PA Primary

Addresses

Primary practice location

4332 Creek Rd
Allentown, PA 18104-3397

Mailing address

4332 Creek Rd
Allentown, PA 18104-3397
Phone (484) 619-3160

Other identifiers 1

IdentifierTypeStateIssuer
036113231MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20061013000014 PA Practitioner - Internal Medicine 0648295121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medical Group P CGroup PAC ID 1355247180, 105 clinicians

Practice addresses (Care Compare)

700 E Norwegian St
Pottsville, PA 17901-2710
Phone (570) 621-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036113231ILMDInternal Medicine Physician
MD429319PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Group P C Internal Medicine CurrentSince Dec 24, 2016 Accepting new patients
Integrated Medical Group, P.C. CurrentSince Dec 24, 2016 Accepting new patients
Lehigh Valley Hospital - Schuylkill Past Accepting new patients
Integrated Medical Group Internal Medicine Past Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Internal Medicine PastSince Jul 1, 2014 Accepting new patients
Community Hospitalist of Pennsylvania Inc Internal Medicine Past Accepting new patients

Locations

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

48 Tunnel Rd
Ste 104
Pottsville, PA 17901
Phone (570) 622-5555

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

82 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5455

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1093778359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 CREEK RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043397",
            "telephone_number": "484-619-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 CREEK RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043397",
            "telephone_number": "484-619-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "ANIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036113231",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD429319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036113231",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.