Atul Kumar, MD,PHD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

HSE41399 Issued in FL

Practice address

11555 Central Pkwy Ste 903
Jacksonville, FL 32224-2701

Phone

(863) 874-0898

Fax

(833) 728-7333

NPI assigned

Nov 7, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Medical Physicians Group PLLC

  • Family Medicine Physician
  • Port Saint Lucie, FL
  • NPI 1598245615
  NPD

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1215750161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10613 MIDLAND MANOR CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631141202",
            "telephone_number": "314-745-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 CENTRAL PKWY STE 903",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242701",
            "telephone_number": "863-874-0898",
            "fax_number": "833-728-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "ATUL",
        "name_prefix": "Dr.",
        "credential": "MD,PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "HSE41399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel D Kulick, DPM
• Elizabeth Kulikov, LMHC
• Kyla Kulling
• Brittney Kulp
• Ananya Kumar
• Jayanth Kumar, MD
• Jessica Jackson Kumar, MS, CGC
• Jeyan Sathia Kumar, MD
• Monica Kumar, MD
• Purnima Kumar, PH.D.

• Student in an Organized Health Care Education/Training Program in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.