Active NPI
Chandra Mohan Kumar, MD
- Allergy & Immunology Physician
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 11875
- Practice address
- 208 Maccorkle Ave SE
Charleston, WV 25314-1160 - Phone
- (304) 343-4300
- Fax
- (304) 343-5473
- NPI assigned
- Aug 18, 2006
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 11875 | WV | Primary |
Addresses
Primary practice location
208 Maccorkle Ave SE
Charleston, WV 25314-1160
Mailing address
208 Maccorkle Ave SE
Charleston, WV 25314-1160
Phone (304) 343-4300
Other practice location 1
730 Woodside Rd
Redwood City, CA 94061-3749
Phone (650) 368-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0112177000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041109000312 | WV | Practitioner - Allergy/Immunology | 0941262737 | Reassigns benefits to 1 organization |
| I20180913000946 | CA | Practitioner - Allergy/Immunology | 0941262737 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- WV Asthma and Allergy Centers Inc
Practice addresses (Care Compare)
208 Maccorkle Ave SE
Charleston, WV 25314-1160
Phone 304343430099
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WV Asthma and Allergy Centers, Inc. | Allergy & Immunology | Current | Accepting new patients |
| WV Asthma and Allergy Centers, Inc. | Allergy & Immunology | Current | Accepting new patients |
| WV Asthma and Allergy Centers, Inc. | Allergy & Immunology | Current | Accepting new patients |
| Family Asthma and Allergy Center P.C. | Allergy & Immunology | Current | Accepting new patients |
| WV Asthma and Allergy Centers, Inc. | Allergy & Immunology | Past | Accepting new patients |
| WV Asthma and Allergy Centers, Inc | Allergy & Immunology | Past | Accepting new patients |
| WV Asthma & Allergy Centers, Inc. | Allergy & Immunology | Past | Accepting new patients |
Locations
730 Woodside Rd
Redwood City, CA 94061
Phone (650) 368-8800
246 George St
Beckley, WV 25801
Phone (304) 253-7100
208 Maccorkle Ave SE
Charleston, WV 25314
Phone (304) 343-4300
100 Main Ave
Logan, WV 25601
Phone (304) 831-6700
118 Nick Savas Dr
Logan, WV 25601
Phone (304) 752-4045
418 Grand Park Dr
Ste 326
Parkersburg, WV 26105
Phone (304) 422-1400
598 Church St S
#A
Ripley, WV 25271
Phone (304) 372-3033
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 and National Provider Directory roles.
-
- Allergy & Immunology Physician
- Beckley, WV
- NPI 1205011509
Allergy & Immunology, WV
-
- Allergy & Immunology Physician
- Redwood City, CA
- NPI 1467941658
Allergy & Immunology, CA
-
- Allergy & Immunology Physician
- Charleston, WV
- NPI 1316013295
Allergy & Immunology
-
- Allergy & Immunology Physician
- Logan, WV
- NPI 1003091307
Allergy & Immunology
-
- Allergy & Immunology Physician
- Charleston, WV
- NPI 1114005477
Allergy & Immunology
-
- Allergy & Immunology Physician
- Barboursville, WV
- NPI 1518310051
Allergy & Immunology
-
- Allergy & Immunology Physician
- Ripley, WV
- NPI 1619152683
Allergy & Immunology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1164536264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 MACCORKLE AVE SE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253141160",
"telephone_number": "304-343-4300",
"fax_number": "304-343-5473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 MACCORKLE AVE SE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253141160",
"telephone_number": "304-343-4300",
"fax_number": "304-343-5473"
}
],
"practiceLocations": [
{
"address_1": "730 Woodside Rd",
"address_purpose": "LOCATION",
"city": "Redwood City",
"state": "CA",
"postal_code": "940613749",
"country_code": "US",
"telephone_number": "650-368-8800",
"fax_number": "650-368-8809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUMAR",
"first_name": "CHANDRA",
"middle_name": "MOHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "WV",
"license": "11875",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0112177000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.