Individual provider Active NPI

Manish Kumar, M.D

  • Family Medicine Physician
  • Bellerose, NY
National Provider Identifier
1538414982
Registry record updated Apr 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
265895 Issued in NY
Practice address
25012 Hillside Ave
Suite B
Bellerose, NY 11426-2100
Phone
(718) 470-0126
Fax
(718) 470-0128
NPI assigned
Jul 20, 2012
Last updated
Apr 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 265895 NY Primary

Addresses

Primary practice location

25012 Hillside Ave
Suite B
Bellerose, NY 11426-2100

Mailing address

13 Wilton St
New Hyde Park, NY 11040-3829
Phone (718) 470-0126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130830000231 NY Practitioner - Family Practice 8628211158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25012 Hillside Ave
Suite B
Bellerose, NY 11426-2139
Phone (718) 470-0126

491 S Oyster Bay Rd
Plainview, NY 11803-3320
Phone (516) 822-3650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265895NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kumar Physician Office PC Family Medicine CurrentSince Oct 17, 2015 Accepting new patients
Quality Medical Provider PC Family Medicine Past Accepting new patients

Locations

25012 Hillside Ave
Ste B
Bellerose, NY 11426
Phone (718) 343-7600

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: manishkumar@kumarphysicianoffice.kareodirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459555200000",
    "number": "1538414982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WILTON ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403829",
            "telephone_number": "718-470-0126",
            "fax_number": "718-470-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25012 HILLSIDE AVE",
            "address_2": "SUITE B",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262100",
            "telephone_number": "718-470-0126",
            "fax_number": "718-470-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "MANISH",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2016-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "265895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

Verify at the official NPI Registry.