Active NPI
Pankaj Kumar, M.D.,LLC
- Internal Medicine Physician
- Richmond, IN
National Provider Identifier
1275712960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01040839
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.
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- Anaheim, CA
- NPI 1295826790
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.