Organization Active NPI

Pankaj Kumar, M.D.,LLC

  • Internal Medicine Physician
  • Richmond, IN
National Provider Identifier
1275712960
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01040839 Issued in IN
Legal business name
PANKAJ KUMAR, M.D.,LLC
Practice address
100 N 15TH St
Richmond, IN 47374-4355
Phone
(765) 966-8221
Fax
(765) 962-9582
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Dr. Pankaj Kumar, M.D.
Title
Doctor
Phone
(765) 960-5627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 01040839 IN Primary

Addresses

Primary practice location

100 N 15TH St
Richmond, IN 47374-4355

Mailing address

5833 Stone Lake Dr
Dayton, OH 45429-6064
Phone (765) 960-5627

National Provider Directory

National Provider Directory

Locations

100 N 15th St
Ste 204
Richmond, IN 47374
Phone (765) 966-8221

100 N 15th St
Richmond, IN 47374
Phone (765) 962-0913

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1275712960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 STONE LAKE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454296064",
            "telephone_number": "765-960-5627",
            "fax_number": "937-291-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 15TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473744355",
            "telephone_number": "765-966-8221",
            "fax_number": "765-962-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANKAJ KUMAR, M.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "765-960-5627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01040839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.