Individual provider Active NPI

Santosh Kumar, MD

  • Family Medicine Physician
  • Blair, NE
National Provider Identifier
1265695241
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32223 Issued in NE
Practice address
810 N 22ND St
Blair, NE 68008-1128
Phone
(402) 426-2182
NPI assigned
Jul 9, 2008
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5825 NE
Family Medicine Physician 207Q00000X 32223 NE Primary

Addresses

Primary practice location

810 N 22ND St
Blair, NE 68008-1128

Mailing address

810 N 22ND St
Blair, NE 68008-1128
Phone (402) 426-2182

Other practice location 1

11109 S 84th St Ste 5800
Papillion, NE 68046-4124
Phone (402) 827-4900

Other practice location 2

300 Pershing Ave
Shenandoah, IA 51601-2355
Phone (712) 246-1230

Other identifiers 1

IdentifierTypeStateIssuer
MD39494OtherIAIA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110808000254 IA Practitioner - Emergency MedicinePractitioner - Family Practice 1951570092 Reassigns benefits to 1 organization
I20200116000260 NE Practitioner - Family Practice 1951570092 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard County Medical CenterGroup PAC ID 5698775849, 28 clinicians

Practice addresses (Care Compare)

1113 Sherman St
Saint Paul, NE 68873-1546
Phone (308) 754-4421

PO Box
Suite 406
Saint Paul, NE 68873

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32223NEMDFamily Medicine Physician
5825NEMDFamily Medicine Physician
39494IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard County Medical Center Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Memorial Community Hospital Corporation CurrentSince Nov 1, 2022 Accepting new patients
Howard County Medical Center Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Memorial Community Hospital Corporation Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Shenandoah Medical Center CurrentSince Jul 11, 2011 Accepting new patients
Shenandoah Medical Center CurrentSince Jul 11, 2011 Accepting new patients
Shenandoah Medical Center Current Accepting new patients
Pawnee County Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
Pawnee County Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients

Locations

1 Jack Foster Dr
Shenandoah, IA 51601
Phone (712) 246-7240

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

812 N 22nd St
Blair, NE 68008
Phone (402) 426-4611

600 I St
Pawnee City, NE 68420
Phone (402) 852-2231

1113 Sherman St
Saint Paul, NE 68873
Phone (308) 754-4421

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1265695241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N 22ND ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081128",
            "telephone_number": "402-426-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N 22ND ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081128",
            "telephone_number": "402-426-2182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11109 S 84th St Ste 5800",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680464124",
            "country_code": "US",
            "telephone_number": "402-827-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Pershing Ave",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "IA",
            "postal_code": "516012355",
            "country_code": "US",
            "telephone_number": "712-246-1230",
            "fax_number": "712-246-7414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SANTOSH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "5825",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "32223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA LICENSE",
            "identifier": "MD39494",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blair, NE

Sources for this page

Verify at the official NPI Registry.