Active NPI
Rishi Kumar, MD
- Student in an Organized Health Care Education/Training Program
- McComb, MS
National Provider Identifier
1548949886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 215 Marion Ave
McComb, MS 39648-2705 - Phone
- (601) 249-5500
- NPI assigned
- Jul 13, 2023
- Reactivated
- Jul 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
215 Marion Ave
McComb, MS 39648-2705
Mailing address
1210 Parklane Rd Apt 3F
McComb, MS 39648-4938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240725004695 | MS | Order and Referring Only - Family Practice | 9739625716 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- rkumar5287979@direct.casso.us.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720224000000",
"number": "1548949886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 PARKLANE RD APT 3F",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396484938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 MARION AVE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482705",
"telephone_number": "601-249-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "RISHI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-13",
"last_updated": "2024-07-06",
"certification_date": "2024-07-06",
"deactivation_date": "2024-03-19",
"reactivation_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.