Pardeep Kumar, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MT194574 Issued in PA

Practice address

340 Royal Chartres SQ W
Apartment #103
Cordova, TN 38018-4413

Phone

(916) 743-4046

NPI assigned

Jun 8, 2009

Last updated

Jul 7, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment NPD
• Innovative Emergency Physicians of Frisco, PA

  • Emergency Medicine Physician
  • Frisco, TX
  • NPI 1871832188
  Medicare reassignment NPD
• Wise Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Decatur, TX
  • NPI 1366558264
  Medicare reassignment NPD
• Francis J. Fenaughty MD, P.C.

  • Emergency Medicine Physician
  • Germantown, TN
  • NPI 1437141538
  NPD (past)
• T M Carr MD PC

  • Emergency Medicine Physician
  • Dyersburg, TN
  • NPI 1992706097
  NPD (past)

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1568698223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ROYAL CHARTRES SQ W",
            "address_2": "APARTMENT #103",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184413",
            "telephone_number": "916-743-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ROYAL CHARTRES SQ W",
            "address_2": "APARTMENT #103",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184413",
            "telephone_number": "916-743-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "PARDEEP",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT194574",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q1194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kroger Limited Partnership I (Kroger Pharmacy #25-457)
• Kroger Pharmacy
• Victoria Krueger
• Gabrielle Kuhl, PTA
• Dorthy Elizabeth Kulinna
• L & S Metro Transportation LLC
• Bernard Kevin Lacour, DPH
• Lady of Jems Enterprises
• Nancy Louisa Lamb, M.D.
• Lillyen Lambert

• Family Medicine Physician in Cordova, TN
• Providers in Cordova, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.

Verify at the official NPI Registry.