Individual provider Active NPI

Subhash Kumar, M.D.

  • Internal Medicine Physician
  • Huntington, WV
National Provider Identifier
1164474425
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12697 Issued in WV
Practice address
1656 13TH Ave
Huntington, WV 25701-3829
Phone
(304) 529-2090
Fax
(304) 522-2658
NPI assigned
May 16, 2006
Last updated
Jul 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12697 WV Primary

Addresses

Primary practice location

1656 13TH Ave
Huntington, WV 25701-3829

Mailing address

749 Shivel LN
Huntington, WV 25705-3842
Phone (304) 529-2090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, KY2 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
I20060803000037 WV Practitioner - Internal MedicinePractitioner - Nephrology 2567497100 Practice locations: Huntington, WV
I20070305000471 KY Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Neurology 2567497100 Reassigns benefits to 1 organization
Practice locations: Louisa, KY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12697WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Disease Consultants CurrentSince Oct 16, 2015 Accepting new patients
Kumar Dialysis LLC PastSince Feb 20, 2006 Accepting new patients
Pleasant Valley Dialysis LLC PastSince May 28, 2008 Accepting new patients

Locations

47 Cavalier Blvd
Ste 120
Florence, KY 41042
Phone (859) 283-0544

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1164474425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 SHIVEL LN",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257053842",
            "telephone_number": "304-529-2090",
            "fax_number": "304-522-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 13TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013829",
            "telephone_number": "304-529-2090",
            "fax_number": "304-522-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SUBHASH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "12697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.