NPIMap

Individual provider Active NPI

Rakesh Kumar, M.D

  • Nephrology Physician
  • Edgewood, KY
National Provider Identifier
1649427428
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
TP427 Issued in KY
Practice address
830 Thomas More Pkwy Ste 202
Edgewood, KY 41017-5103
Phone
(513) 487-5305
Fax
(513) 487-5317
NPI assigned
Aug 22, 2008
Last updated
Apr 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X TP427 KY Primary
Nephrology Physician 207RN0300X 01073372A IN

Addresses

Primary practice location

830 Thomas More Pkwy Ste 202
Edgewood, KY 41017-5103

Mailing address

4600 Montgomery Rd Ste 105
Cincinnati, OH 45212-2600
Phone (513) 487-5305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, OH3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150618002085 IN Practitioner - Nephrology 9638318462
I20180419002767 KY Practitioner - Nephrology 9638318462 Reassigns benefits to 1 organization
I20180523002257 OH Practitioner - Nephrology 9638318462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney and Hypertension Center IncGroup PAC ID 9830099985, 47 clinicians

Practice addresses (Care Compare)

3219 Clifton Ave
Suite 325
Cincinnati, OH 45220-3046
Phone (513) 861-0800

830 Thomas More Pkwy
Suite 202
Edgewood, KY 41017-5103
Phone (859) 341-6281

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01073372AINMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Center Inc Nephrology CurrentSince Apr 9, 2018 Accepting new patients
Dva Renal Healthcare Inc PastSince Jan 1, 2021 Accepting new patients

Locations

405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610

7370 Turfway Rd
Ste 290
Florence, KY 41042
Phone (330) 637-0348

830 Thomas More Pkwy
Ste 202
Ft Mitchell, KY 41017
Phone (606) 341-6281

2123 Auburn Ave
Ste 404
Cincinnati, OH 45219
Phone (513) 241-5630

3219 Clifton Ave
Ste 325
Cincinnati, OH 45220
Phone (513) 861-0800

4600 Montgomery Rd
Ste 105
Cincinnati, OH 45212
Phone (513) 487-5305

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rkumar229424@direct-prd.stelizabeth.com

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 8

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": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1649427428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "513-487-5305",
            "fax_number": "513-487-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 THOMAS MORE PKWY STE 202",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410175103",
            "telephone_number": "513-487-5305",
            "fax_number": "513-487-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "RAKESH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-22",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "TP427",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01073372A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.