Individual provider Active NPI

Nirmal Kumar Kumaradas Antonio, M.D

  • Internal Medicine Physician
  • Kingwood, TX
National Provider Identifier
1518186451
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P1191 Issued in TX
Practice address
24042 Highway 59 N
Kingwood, TX 77339-1500
Phone
(281) 852-9000
NPI assigned
Apr 25, 2007
Last updated
Nov 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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 2009017561 MO
Internal Medicine Physician 207R00000X P1191 TX Primary

Addresses

Primary practice location

24042 Highway 59 N
Kingwood, TX 77339-1500

Mailing address

24042 Highway 59 N
Kingwood, TX 77339-1500
Phone (281) 852-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130320000553 TX Practitioner - Internal Medicine 3779636709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camil I. Kreit MD PAGroup PAC ID 6406837715, 5 clinicians

Practice addresses (Care Compare)

24042 Hwy 59 N
Kingwood, TX 77339-1500
Phone (281) 852-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009017561MOMDInternal Medicine Physician
P1191TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camil I Kreit MD PA CurrentSince Dec 23, 2012 Accepting new patients

Locations

403 E Dallas St
Cleveland, TX 77327
Phone (281) 358-3387

24042 Highway 59 N
Kingwood, TX 77339
Phone (281) 359-5454

Interoperability endpoints

  • Direct secure messaging: nirmal.antonio.1@28948.direct.athenahealth.com

Organizations & group practices 1

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1518186451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24042 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391500",
            "telephone_number": "281-852-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24042 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391500",
            "telephone_number": "281-852-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMARADAS ANTONIO",
        "first_name": "NIRMAL KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2009017561",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.