Individual provider Active NPI

Amrendra Kumar, MD

  • Family Medicine Physician
  • Lancaster, SC
National Provider Identifier
1104902154
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29114 Issued in SC
Practice address
1130 Hwy 9 Bypass W
Lancaster, SC 29720
Phone
(803) 285-2225
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29114 SC Primary

Addresses

Primary practice location

1130 Hwy 9 Bypass W
Lancaster, SC 29720

Mailing address

1130 Hwy 9 Bypass
Lancaster, SC 29720
Phone (803) 285-2225

Other identifiers 3

IdentifierTypeStateIssuer
BK9868831OtherSCCONTROLLED SUBSTANCE
22N33N45OtherSCSC SUBSTANCE CONTROLLED
29114OtherSCSC MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20070716000482 SC Practitioner - Family Practice 1153421417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
MD-First Health Care LLCGroup PAC ID 6204062474, 2 clinicians

Practice addresses (Care Compare)

1130 Hwy 9 W Byp
Lancaster, SC 29720-1709
Phone (704) 491-1102

Hospital & facility affiliations

  • Musc Health Lancaster Medical Center Hospital, Lancaster, SC, CCN 420036

Merit-based Incentive Payment System (MIPS)

Final score
90.06 of 100Reported as group
Quality
87.55
Promoting interoperability
99
Improvement activities
40
Cost
80.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29114SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD-First Health Care LLC CurrentSince Oct 5, 2013 Accepting new patients
Lancaster One Medical PA PastSince Jul 18, 2001 Accepting new patients

Locations

1130 Highway 9 Byp W
Lancaster, SC 29720
Phone (704) 491-1102

Interoperability endpoints

  • Direct secure messaging: mdfirsthealthcare.amrendrakumar@125549.advancedmd-direct.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.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104902154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 HWY 9 BYPASS",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "29720",
            "telephone_number": "803-285-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 HWY 9 BYPASS W",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "29720",
            "telephone_number": "803-285-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "AMRENDRA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "29114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "BK9868831",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC SUBSTANCE CONTROLLED",
            "identifier": "22N33N45",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL LICENSE",
            "identifier": "29114",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.