Active NPI
Ujjwal Kumar, M.D.
- Gastroenterology Physician
- Cedar Rapids, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD-45784
- Practice address
- Mercy Gastroenterology Clinic
788 8TH Avenue SE
Cedar Rapids, IA 52401 - Phone
- (319) 369-4542
- Fax
- (319) 369-4543
- NPI assigned
- Jul 11, 2013
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD-45784 | IA | Primary |
Addresses
Primary practice location
Mercy Gastroenterology Clinic
788 8TH Avenue SE
Cedar Rapids, IA 52401
Mailing address
Mercy Gastroenterology Clinic
788 8TH Avenue SE
Cedar Rapids, IA 52401
Phone (319) 369-4542
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000
Hospital & facility affiliations
- St Catherine of Siena Hospital
- St Charles Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 46 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 133 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-45784 | IA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients |
Locations
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
48 Route 25A
Ste 105
Smithtown, NY 11787
Phone (631) 360-4000
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- ukumar169479@direct-chsli.net
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.
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Family Medicine Physician
- Bellmore, NY
- NPI 1720334527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1235570805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MERCY GASTROENTEROLOGY CLINIC",
"address_2": "788 8TH AVENUE SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "52401",
"telephone_number": "319-369-4542",
"fax_number": "319-369-4543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MERCY GASTROENTEROLOGY CLINIC",
"address_2": "788 8TH AVENUE SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "52401",
"telephone_number": "319-369-4542",
"fax_number": "319-369-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "UJJWAL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-11",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IA",
"license": "MD-45784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.