Individual provider Active NPI

Namrata Kumar, PA-C

  • Physician Assistant
  • Elyria, OH
National Provider Identifier
1407910896
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.002624RX Issued in OH
Practice address
673 E River St
Elyria, OH 44035
Phone
(440) 322-0872
Fax
(440) 322-4991
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.002624RX OH Primary

Addresses

Primary practice location

673 E River St
Elyria, OH 44035

Mailing address

673 E River St
Elyria, OH 44035-5935
Phone (440) 322-0872

Other practice location 1

3865 Rocky River Dr
Cleveland, OH 44111-4114
Phone (440) 322-0872

Other practice location 2

673 E River St
Elyria, OH 44035
Phone (440) 322-0872

Other identifiers 1

IdentifierTypeStateIssuer
0079922MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071004000112 OH Practitioner - Physician Assistant 4981796877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.47 of 100Reported as group
Quality
90.32
Improvement activities
40
Cost
78.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011363NYMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rakesh Ranjan MD & Associates, Inc. CurrentSince Jun 21, 2021 Accepting new patients
North Shore Endoscopy Center Past Accepting new patients

Locations

12395 McCracken Rd
Ste H
Garfield Hts, OH 44125
Phone (216) 504-3646

801 E Washington St
Ste 150
Medina, OH 44256
Phone (330) 722-1069

Interoperability endpoints

  • Direct secure messaging: nkumar28433@ehrdirect.uhhospitals.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1407910896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 E RIVER ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355935",
            "telephone_number": "440-322-0872",
            "fax_number": "440-322-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 E RIVER ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "44035",
            "telephone_number": "440-322-0872",
            "fax_number": "440-322-4991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3865 Rocky River Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441114114",
            "country_code": "US",
            "telephone_number": "440-322-0872",
            "fax_number": "440-322-4991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "673 E River St",
            "address_purpose": "LOCATION",
            "city": "Elyria",
            "state": "OH",
            "postal_code": "44035",
            "country_code": "US",
            "telephone_number": "440-322-0872",
            "fax_number": "440-322-4991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "NAMRATA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002624RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079922",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.