Individual provider Active NPI

Pradeep Kumar, M.D.

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1164424024
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
198661-1 Issued in NY
Practice address
699 92ND St
Victory Memorial Hospital
Brooklyn, NY 11228-3619
Phone
(718) 567-1234
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 198661-1 NY Primary

Addresses

Primary practice location

699 92ND St
Victory Memorial Hospital
Brooklyn, NY 11228-3619

Mailing address

PO Box 32161
Hartford, CT 06150-2161
Phone (800) 875-4886

Other identifiers 1

IdentifierTypeStateIssuer
01639674MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090727000508 NY Practitioner - Anesthesiology 7618020421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
5000 Avenue K Medical Assocs PCGroup PAC ID 3577454602, 18 clinicians

Practice addresses (Care Compare)

5000 Ave K
Brooklyn, NY 11234-2202
Phone (347) 417-9084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
198661-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
5000 Avenue K Medical Assocs PC Anesthesiology CurrentSince Feb 23, 2010 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Feb 1, 2016 Accepting new patients
Anesthesia Associates of Bay Ridge, LLP Anesthesiology Past Accepting new patients

Locations

1901 Utica Ave
#K
Brooklyn, NY 11234

1901 Utica Ave
Brooklyn, NY 11234
Phone (718) 520-0857

5000 Avenue K
Brooklyn, NY 11234
Phone (718) 629-5590

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

2325 31st St
Fl 2
Long Island City, NY 11105
Phone (347) 417-9094

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

128 Mott St
Ste 202
New York, NY 10013
Phone (347) 417-9089

931 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 331-7200

36 Osprey Ave
Riverhead, NY 11901
Phone (631) 574-8660

Organizations & group practices 3

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1164424024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32161",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061502161",
            "telephone_number": "800-875-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 92ND ST",
            "address_2": "VICTORY MEMORIAL HOSPITAL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283619",
            "telephone_number": "718-567-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "PRADEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "198661-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01639674",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.