Active NPI
Deepak Kumar, M.D.
- Colon & Rectal Surgery Physician
- Dayton, OH
National Provider Identifier
1154324747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 35100257K
- Practice address
- 5932 Springboro Pike
Dayton, OH 45449-3250 - Phone
- (937) 435-8663
- Fax
- (937) 435-8966
- NPI assigned
- May 27, 2005
- 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 |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 35100257K | OH | Primary |
Addresses
Primary practice location
5932 Springboro Pike
Dayton, OH 45449-3250
Mailing address
5932 Springboro Pike
Dayton, OH 45449-3250
Phone (937) 435-8663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0324938 | Medicaid | OH |
Other names 1
- Dr. Deepak Kumar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35100257K | OH | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Interoperability endpoints
- dkumar177630@direct.ketteringhealth.org
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1154324747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5932 SPRINGBORO PIKE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454493250",
"telephone_number": "937-435-8663",
"fax_number": "937-435-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5932 SPRINGBORO PIKE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454493250",
"telephone_number": "937-435-8663",
"fax_number": "937-435-8966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "DEEPAK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "OH",
"license": "35100257K",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0324938",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEEPAK",
"last_name": "KUMAR",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.