Organization Active NPI

Kumar Internal Medicine Assoc. P.a.

  • Adolescent Medicine (Internal Medicine) Physician
  • Rocky Mount, NC
National Provider Identifier
1205896768
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
Legal business name
KUMAR INTERNAL MEDICINE ASSOC. P.A.
Practice address
108 N Englewood Dr
Rocky Mount, NC 27804-2416
Phone
(252) 443-1126
Fax
(252) 443-1126
NPI assigned
Mar 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kamlesh K Kumar, M.D.
Title
Owner
Phone
(252) 443-1126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X Primary

Addresses

Primary practice location

108 N Englewood Dr
Rocky Mount, NC 27804-2416

Mailing address

108 N Englewood Dr
Rocky Mount, NC 27804-2416
Phone (252) 443-1126

Other identifiers 2

IdentifierTypeStateIssuer
01991OtherNCBC/BLUESHIELD GROUP NUMBE
8901991MedicaidNC

National Provider Directory

National Provider Directory

Locations

108 N Englewood Dr
Rocky Mount, NC 27804
Phone (252) 443-1126

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205896768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N ENGLEWOOD DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042416",
            "telephone_number": "252-443-1126",
            "fax_number": "252-443-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N ENGLEWOOD DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042416",
            "telephone_number": "252-443-1126",
            "fax_number": "252-443-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMAR INTERNAL MEDICINE ASSOC. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "KAMLESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-443-1126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BLUESHIELD GROUP NUMBE",
            "identifier": "01991",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901991",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.