NPIMap

Individual provider Active NPI

Kishore Kumar, M.D.

  • Hospitalist Physician
  • Oklahoma City, OK
National Provider Identifier
1265626832
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
25877 Issued in OK
Practice address
3300 NW Expressway
Oklahoma City, OK 73112
Phone
(405) 713-7403
Fax
(405) 713-2794
NPI assigned
Aug 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25877 OK
Hospitalist Physician 208M00000X 25877 OK Primary

Addresses

Primary practice location

3300 NW Expressway
Oklahoma City, OK 73112

Mailing address

5300 N Independence Ave
Suite 280
Oklahoma City, OK 73112-5556
Phone (405) 713-7403

Other identifiers 1

IdentifierTypeStateIssuer
25877OtherOKMEDICAL LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111122000852 OK Practitioner - HospitalistPractitioner - Internal Medicine 1951575216 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Oklahoma College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care Corporation 687 clinicians
Spectrum Healthcare Solutions, PLLC 18 clinicians

Practice addresses (Care Compare)

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3141

4220 N Classen Blvd
Suite a
Oklahoma City, OK 73118-2416
Phone (405) 768-5749

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094
  • Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203
  • Oklahoma City Rehabilitation Hospital, LLC Inpatient rehabilitation facility, Oklahoma City, OK, CCN 373038
  • Inspire Specialty Hospital Long-term care hospital, Midwest City, OK, CCN 372012
  • Ignite Medical Resort Okc, LLC Nursing home, Oklahoma City, OK, CCN 375412
  • South Pointe Rehabilitation and Care Center Nursing home, Oklahoma City, OK, CCN 375365
  • Meadowlake Estates Nursing home, Oklahoma City, OK, CCN 375256

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Hospital Medicine Associates PC Hospitalist CurrentSince Nov 1, 2014 Accepting new patients
Divine Prosperity LLC Hospitalist CurrentSince Jun 3, 2017 Accepting new patients
Spectrum Healthcare Solutions, PLLC CurrentSince May 30, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jun 10, 2018 Accepting new patients
Optimum Care Hospitalist Group PLLC Internal Medicine CurrentSince Feb 1, 2017 Accepting new patients
Optimum Post Acute Care PLLC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Transitional Care Organization LLC Hospitalist CurrentSince Mar 1, 2022 Accepting new patients
Mark 5 Care Group, PLLC Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
Ignite Medical Resort Okc, LLC Past Accepting new patients
PF Mle SNF Ops, LLC Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Solara Hospital Shawnee, LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients
SP Healthcare Management LLC Past Accepting new patients
Landmark of Midwest City Specialty Hospital, LLC Past Accepting new patients

Locations

1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100

1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

1104 E State Highway 152
#1
Mustang, OK 73064
Phone (405) 376-9544

1407 N Robinson Ave
Oklahoma City, OK 73103
Phone (405) 232-8000

4220 N Classen Blvd
Ste D
Oklahoma City, OK 73118
Phone (405) 259-2333

315 SW 80th St
Oklahoma City, OK 73139
Phone (214) 272-2774

1111 N Dewey Ave
Oklahoma City, OK 73103
Phone (405) 272-7900

4220 N Classen Blvd
Ste A
Oklahoma City, OK 73118
Phone (405) 768-5749

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

1000 N Lee Ave
Rm 1921
Oklahoma City, OK 73102
Phone (405) 272-6053

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Interoperability endpoints

  • Direct secure messaging: kkumar146465@direct.integrisok.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1265626832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "SUITE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "405-713-7403",
            "fax_number": "405-713-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NW EXPRESSWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-713-7403",
            "fax_number": "405-713-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "KISHORE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "25877",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "25877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSURE",
            "identifier": "25877",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.