NPIMap

Individual provider Active NPI

Mukesh Kumar, MD

  • Hematology & Oncology Physician
  • Columbus, GA
National Provider Identifier
1295902419
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
066710 Issued in GA
Practice address
1831 5TH Ave
Columbus, GA 31904-8915
Phone
(706) 320-8780
NPI assigned
May 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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 50678 MN
Hematology & Oncology Physician 207RH0003X 066710 GA Primary

Addresses

Primary practice location

1831 5TH Ave
Columbus, GA 31904-8915

Mailing address

PO Box 1038
Columbus, GA 31902-1038
Phone (706) 320-8780

Other identifiers 1

IdentifierTypeStateIssuer
003112320GMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkumar663254@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160706001137 GA Practitioner - Hematology/Oncology 8628144672 Reassigns benefits to 2 organizations
I20181009003515 NC Practitioner - Hematology/Oncology 8628144672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Center, Inc.Group PAC ID 9830094077, 31 clinicians

Practice addresses (Care Compare)

1831 5TH Ave
Suite 100
Columbus, GA 31904-8915
Phone (706) 320-8660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.78 of 100Reported as individual
Quality
69.54
Promoting interoperability
99
Improvement activities
40
Cost
37.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50678MNMDInternal Medicine Physician
066710GAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Internal Medicine Current Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2023 Accepting new patients
The Presbyterian Hospital Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
The Presbyterian Hospital Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2023 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

818 Saint Sebastian Way
Ste 400
Augusta, GA 30901
Phone (706) 722-2947

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

170 Medical Park Rd
Ste 101
Mooresville, NC 28117
Phone (704) 799-3946

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1295902419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319021038",
            "telephone_number": "706-320-8780",
            "fax_number": "706-320-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 5TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048915",
            "telephone_number": "706-320-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "MUKESH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2022-12-02",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "50678",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "066710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003112320G",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkumar663254@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1831 5th Ave",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319048915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.