Individual provider Active NPI

Anil Kumar, M.D.

  • Interventional Pain Medicine Physician
  • Stoneham, MA
National Provider Identifier
1548209547
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
34921 Issued in MA
Practice address
3 Woodland Rd
Suite 322
Stoneham, MA 02180-1702
Phone
(781) 662-2243
Fax
(781) 662-4878
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 34921 MA Primary

Addresses

Primary practice location

3 Woodland Rd
Suite 322
Stoneham, MA 02180-1702

Mailing address

3 Woodland Rd
Suite 322
Stoneham, MA 02180-1702
Phone (781) 662-2243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051107001032 MA Practitioner - Interventional Pain Management 5799703864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain Management IncGroup PAC ID 9032115746, 2 clinicians

Practice addresses (Care Compare)

3 Woodland Rd
Suite 322
Stoneham, MA 02180-1713
Phone (781) 662-2243

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34921MAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Inc CurrentSince Jan 1, 1989 Accepting new patients
Advanced Pain Management Inc Interventional Pain Medicine CurrentSince Jan 1, 1989 Accepting new patients
Northeast Ambulatory Center Inc PastSince Jan 1, 1995 Accepting new patients

Locations

3 Woodland Rd
Ste 322
Stoneham, MA 02180
Phone (781) 662-2243

Interoperability endpoints

  • Direct secure messaging: akumar28734@tuftsmedicine.direct-ci.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 and National Provider Directory roles.

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1548209547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD",
            "address_2": "SUITE 322",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801702",
            "telephone_number": "781-662-2243",
            "fax_number": "781-662-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD",
            "address_2": "SUITE 322",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801702",
            "telephone_number": "781-662-2243",
            "fax_number": "781-662-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "ANIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MA",
            "license": "34921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.