Individual provider Active NPI

Pradeep Kumar, MD

  • Child & Adolescent Psychiatry Physician
  • Plano, TX
National Provider Identifier
1609823608
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
L8098 Issued in TX
Practice address
3920 Alma Dr
Plano, TX 75023-6748
Phone
(972) 422-5939
Fax
(972) 422-1280
NPI assigned
May 27, 2006
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X L8098 TX Primary

Addresses

Primary practice location

3920 Alma Dr
Plano, TX 75023-6748

Mailing address

3920 Alma Dr
Plano, TX 75023-6748
Phone (972) 422-5939

Other practice location 1

8915 Harry Hines Blvd
Dallas, TX 75235-1717
Phone (214) 351-3490

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
I20040913001081 TX Practitioner - Psychiatry 7214904945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8915 Harry Hines Blvd
Dallas, TX 75235-1717
Phone (214) 351-3490

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Plano Behavioral Helath, PLLC CurrentSince Sep 15, 2024 Accepting new patients
North Texas Behavioral Health Authority Child & Adolescent Psychiatry CurrentSince Sep 18, 2023 Accepting new patients
North Texas Behavioral Health Authority Child & Adolescent Psychiatry PastSince Apr 24, 2022 Accepting new patients

Locations

319 N 12th St
Ste 1
Corsicana, TX 75110
Phone (877) 872-1003

8111 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75251
Phone (214) 366-9407

8915 Harry Hines Blvd
Dallas, TX 75235
Phone (972) 548-9484

108 W Grove St
Kaufman, TX 75142
Phone (214) 366-9407

120 W Main St
Ste 220
Mesquite, TX 75149
Phone (469) 335-7782

2301 Ohio Dr
Ste 295
Plano, TX 75093
Phone (972) 672-5663

4031 W Plano Pkwy
Ste 211
Plano, TX 75093
Phone (972) 369-8990

1505 W Jefferson St
Ste 120
Waxahachie, TX 75165
Phone (972) 937-8309

Organizations & group practices 4

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1609823608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 ALMA DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750236748",
            "telephone_number": "972-422-5939",
            "fax_number": "972-422-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 ALMA DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750236748",
            "telephone_number": "972-422-5939",
            "fax_number": "972-422-1280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8915 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752351717",
            "country_code": "US",
            "telephone_number": "214-351-3490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "PRADEEP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "L8098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.