Individual provider Active NPI

Sivapriya Kumar, M.D.

  • Family Medicine Physician
  • Longwood, FL
National Provider Identifier
1639371784
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME100615 Issued in FL
Practice address
721 Ciara Creek CV
Longwood, FL 32750-4659
Phone
(407) 887-7565
Fax
(407) 987-3694
NPI assigned
Jun 1, 2007
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME100615 FL Primary
General Practice Physician 208D00000X ME100615 FL

Addresses

Primary practice location

721 Ciara Creek CV
Longwood, FL 32750-4659

Mailing address

721 Ciara Creek CV
Longwood, FL 32750-4659
Phone (407) 887-7565

Other identifiers 2

IdentifierTypeStateIssuer
2811332-00MedicaidFL
146XROtherFLBLUECROSS BLUESHIELD

Other names 1

  • Dr. Priya Kumar Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080605000649 FL Practitioner - General Practice 9032289848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Indiana University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

721 Ciara Creek CV
Longwood, FL 32750-4659
Phone (407) 887-7565

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Primary Care, LLC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

721 Ciara Creek Cv
Longwood, FL 32750
Phone (407) 887-7565

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BECJCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BECJCD/Endpoint/BECJCD

Organizations & group practices 2

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.

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1639371784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 CIARA CREEK CV",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504659",
            "telephone_number": "407-887-7565",
            "fax_number": "407-987-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 CIARA CREEK CV",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504659",
            "telephone_number": "407-887-7565",
            "fax_number": "407-987-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SIVAPRIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME100615",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME100615",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2811332-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "146XR",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRIYA",
            "last_name": "KUMAR",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.