Individual provider Active NPI

Precy P Kumar, MMS, PA-C

  • Physician Assistant
  • Pembroke Pines, FL
National Provider Identifier
1619023470
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
600 N Hiatus Rd
Suite 215
Pembroke Pines, FL 33026-5207
Phone
(954) 437-3600
Fax
(954) 437-8251
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X PA9103463 FL
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

600 N Hiatus Rd
Suite 215
Pembroke Pines, FL 33026-5207

Mailing address

11880 SW 40TH St
Suite 304
Miami, FL 33175-3584
Phone (305) 223-8808

Other identifiers 3

IdentifierTypeStateIssuer
000590000MedicaidFL
BJ793YOtherFLMEDICARE
BJ793ZOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090302000225 FL Practitioner - Physician Assistant 4082770995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16401 NW 2 Ave
204 Florida Center for Allergy and Asthma Car
Miami, FL 33169-6036
Phone (305) 945-4131

1960 NE 47TH St
101 Florida Center for Allergy and Asthma Car
Fort Lauderdale, FL 33308-7708
Phone (954) 772-3366

21150 Biscayne Blvd
Suite 408
Aventura, FL 33180-1250
Phone (305) 932-3252

2901 Coral Hills Dr
Suite 310
Coral Springs, FL 33065-4165
Phone (954) 344-8100

350 NW 84TH Ave
205 Florida Center for Allergy and Asthma Car
Plantation, FL 33324-1859
Phone (954) 472-4848

600 N Hiatus Rd
215 Florida Center for Allergy and Asthma Car
Pembroke Pines, FL 33026-5207
Phone (954) 437-3600

7150 W 20TH Ave
106 Florida Center for Allergy and Asthma Car
Hialeah, FL 33016-5509
Phone (305) 362-7762

7301 W Palmetto Park Rd
105C Florida Center for Allergy and Asthma Ca
Boca Raton, FL 33433-3455
Phone (561) 392-8832

9000 SW 137TH Ave
213 Florida Center for Allergy and Asthma Car
Miami, FL 33186-1436
Phone (305) 388-0078

9035 Sunset Dr
Suite 202
Miami, FL 33173-3451
Phone (305) 279-3366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Associates of South Florida PA Allergy & Immunology Past Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1619023470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 SW 40TH ST",
            "address_2": "SUITE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753584",
            "telephone_number": "305-223-8808",
            "fax_number": "305-223-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N HIATUS RD",
            "address_2": "SUITE 215",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265207",
            "telephone_number": "954-437-3600",
            "fax_number": "954-437-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "PRECY",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "MMS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "PA9103463",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000590000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "BJ793Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "BJ793Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.