Active NPI
Mukesh Kumar, MD
- Internal Medicine Physician
- Derby, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 65432
- Practice address
- 130 Division St
Derby, CT 06418-1326 - Phone
- (203) 732-1330
- Fax
- (203) 732-1332
- NPI assigned
- Jul 5, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 65432 | CT | Primary |
Addresses
Primary practice location
130 Division St
Derby, CT 06418-1326
Mailing address
67 Maple Ave
Derby, CT 06418-1328
Phone (203) 732-1256
Other practice location 1
111 Wakelee Ave
Ansonia, CT 06401-1151
Phone (203) 308-2781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
130 Division St
Derby, CT 06418-1326
Phone (203) 732-1330
2150 Corbin Ave
New Britain, CT 06053-2266
Phone (860) 827-4994
400 E Main St
Mount Kisco, NY 10549-3417
Phone (914) 666-1371
50 Gaylord Farm Rd
Wallingford, CT 06492-2828
Phone (203) 679-3553
56 Franklin St
Waterbury, CT 06706-1253
Phone (203) 709-6000
Hospital & facility affiliations
- Trinity Health of New England at Home
- Saint Mary'S Hospital
- Griffin Hospital
- Phelps Hospital
- The Hospital of Central Connecticut
- Yale-New Haven Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65432 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Griffin Faculty Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Mill Hill Medical Consultants Inc | Current | Accepting new patients | |
| Northeast Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Hospital for Special Care | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Gaylord Hospital, Inc. | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Internal Medicine | Current | Accepting new patients |
| Montefiore New Rochelle Hospital | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Internal Medicine | Current | Accepting new patients |
| Phelps Memorial Hospital Association | Past | Accepting new patients | |
| Northern Westchester Hospital Association | Past | Accepting new patients |
Locations
111 Wakelee Ave
Ansonia, CT 06401
Phone (203) 308-2781
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
130 Division St
Derby, CT 06418
Phone (203) 732-1330
67 Maple Ave
Derby, CT 06418
Phone (203) 732-0699
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
2150 Corbin Ave
New Britain, CT 06053
Phone (860) 223-2761
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553
133 Scovill St
Ste 102
Waterbury, CT 06706
Phone (203) 270-5575
133 Scovill St
Ste 306
Waterbury, CT 06706
Phone (203) 709-3667
133 Scovill St
Ste 209
Waterbury, CT 06706
Phone (203) 709-3800
111 E 210th St
Bronx, NY 10467
400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200
16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680
300 Community Dr
Plandome, NY 11030
701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir.hfsc.org/R4/open-Prod
- mkumar2388661@direct.trinity-health.org
- mkumar66255@northwell.direct-ci.com
Organizations & group practices 12
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Derby, CT
- NPI 1598755605
Internal Medicine
-
- Long Term Care Hospital
- New Britain, CT
- NPI 1477534089
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Long Term Care Hospital
- Wallingford, CT
- NPI 1730137753
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1295163244
-
- Hospitalist Physician
- Greenwich, CT
- NPI 1881607232
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
-
- General Acute Care Hospital
- Mount Kisco, NY
- NPI 1912992215
-
- General Acute Care Hospital
- Sleepy Hollow, NY
- NPI 1720185267
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1760426969
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
-
- Home Health Agency
- Hartford, CT
- NPI 1992702757
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
-
- General Acute Care Hospital
- Sleepy Hollow, NY
- NPI 1720185267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1104347665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 MAPLE AVE",
"city": "DERBY",
"state": "CT",
"postal_code": "064181328",
"telephone_number": "203-732-1256",
"fax_number": "203-732-1539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 DIVISION ST",
"city": "DERBY",
"state": "CT",
"postal_code": "064181326",
"telephone_number": "203-732-1330",
"fax_number": "203-732-1332"
}
],
"practiceLocations": [
{
"address_1": "111 Wakelee Ave",
"address_purpose": "LOCATION",
"city": "Ansonia",
"state": "CT",
"postal_code": "064011151",
"country_code": "US",
"telephone_number": "203-308-2781",
"fax_number": "203-308-2726",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUMAR",
"first_name": "MUKESH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-05",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "65432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.