Individual provider Active NPI

Mark H Kumar, MD

  • Vascular Surgery Physician
  • Winchester, VA
National Provider Identifier
1114929395
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101230821 Issued in VA
Practice address
1880 Amherst St Ste 300
Winchester, VA 22601-2808
Phone
(540) 536-6721
Fax
(540) 536-6724
NPI assigned
Jun 1, 2005
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 30175 WV
Vascular Surgery Physician 2086S0129X 0101230821 VA Primary

Addresses

Primary practice location

1880 Amherst St Ste 300
Winchester, VA 22601-2808

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2896
Phone (540) 536-5100

Other practice location 1

1077 N Shenandoah Ave Ste B
Front Royal, VA 22630-3546
Phone (540) 636-0627

Other practice location 2

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Other practice location 3

120 Campus Dr Ste 221
Martinsburg, WV 25404-7552
Phone (681) 247-1280

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address mkumar744422@soc.inova.org
Direct Messaging Address mkumar744422@soc.inova.org
Direct Messaging Address mkumar744422@soc.inova.org
Direct Messaging Address mkumar744422@soc.inova.org
Direct Messaging Address mkumar744422@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201217000693 VA Practitioner - Vascular Surgery 7719954254 Reassigns benefits to 2 organizations
I20210215000657 WV Practitioner - Vascular Surgery 7719954254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Virginia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Medical CenterGroup PAC ID 0244134021, 313 clinicians
Valley Physician Enterprise IncGroup PAC ID 9931268091, 176 clinicians

Practice addresses (Care Compare)

120 Campus Dr
Suite 211
Martinsburg, WV 25404-7552
Phone (681) 247-1260

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8700

1880 Amherst St
Suite 300
Winchester, VA 22601-2808
Phone (540) 536-6721

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)39
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Jan 1, 2021 Accepting new patients
East Mountain Health Physicians Inc. Current Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jan 1, 2021 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Mar 1, 2021 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Valley Physician Enterprise, Inc Vascular Surgery CurrentSince Jan 1, 2021 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Winchester Medical Center Current Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

1077 N Shenandoah Ave
#B
Front Royal, VA 22630
Phone (540) 636-0627

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1870 Amherst St
Ste 300
Winchester, VA 22601
Phone (540) 536-6721

1880 Amherst St
Ste 300
Winchester, VA 22601
Phone (540) 536-6721

220 Campus Blvd
Ste 100
Winchester, VA 22601

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

120 Campus Dr
Ste 211
Martinsburg, WV 25404
Phone (681) 247-1260

120 Campus Dr
Ste 221
Martinsburg, WV 25404
Phone (681) 247-1280

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: mkumar@tcvcg.ssdirect.aprima.com
  • Direct secure messaging: mkumar208202@ahs.direct-ci.com
  • Direct secure messaging: mkumar744422@soc.inova.org
  • Direct secure messaging: mkumar744422@valleyhealth.direct-ci.com

Organizations & group practices 11

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 8

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1114929395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012896",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 AMHERST ST STE 300",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012808",
            "telephone_number": "540-536-6721",
            "fax_number": "540-536-6724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1077 N Shenandoah Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226303546",
            "country_code": "US",
            "telephone_number": "540-636-0627",
            "fax_number": "540-636-0629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Campus Dr Ste 221",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254047552",
            "country_code": "US",
            "telephone_number": "681-247-1280",
            "fax_number": "681-247-1281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "MARK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WV",
            "license": "30175",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101230821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkumar744422@soc.inova.org",
            "affiliation": "N",
            "address_1": "1870 Amherst St Ste 300",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226016254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkumar744422@soc.inova.org",
            "affiliation": "N",
            "address_1": "120 Campus Dr Ste 221",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254047552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkumar744422@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkumar744422@soc.inova.org",
            "affiliation": "N",
            "address_1": "1077 N Shenandoah Ave Ste B",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226303546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkumar744422@soc.inova.org",
            "affiliation": "N",
            "address_1": "1880 Amherst St Ste 300",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.