Jyothsna Kumar, M.D.
Individual provider Active NPI Psychiatry Physician · Jonesboro, AR
NPI 1669447702 · NPPES record last updated Sep 3, 2009
Key facts
- NPI
- 1669447702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- E0110 (AR)
- Practice address
- 2707 Browns LN
Jonesboro, AR 72401-7213 - Phone
- (870) 972-4939
- Fax
- (870) 972-4911
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dr Kumars Medical Clinic PA
Practice addresses (Care Compare)
1801 Lindauer Rd
Forrest City, AR 72335-2407
Phone 87063350161
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050114000912 | AR | Practitioner - Psychiatry | 3577512680 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0110 | AR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Kumar'S Medical Clinic PA | Current |
Accepting new patients | |
| Forrest City Clinic Company LLC | Current |
Accepting new patients | |
| Kids for the Future, Inc. | Past | Accepting new patients | |
| Kids for the Future, Inc. | Past | Accepting new patients | |
| Kids for the Future, Inc. | Past | Accepting new patients | |
| The Logan Centers, Inc. | Psychiatry | Past | Accepting new patients |
Locations
1801 Lindauer Rd
Forrest City, AR 72335
Phone (870) 633-5016
1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000
Interoperability endpoints
- https://api.platform.athenahealth.com/1607/brand/1/csg/1/fhir/r4
- jkumar03@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E0110 | AR | Yes |
Addresses
Primary practice location
2707 Browns LN
Jonesboro, AR 72401-7213
Mailing address
1801 Lindauer Rd
Forrest City, AR 72335-2407
Phone (870) 633-5016
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126492001 | Medicaid | AR |
Other providers in Jonesboro, AR
- Jared E Krocker
- Kroger Limited Partnership I
- Raeann Elizabeth Krotzer
- Joseph C Kueter
- Matthew Kuhlmann
- Karen Kuo Peck
- Pawel Krzysztof Kurylo
- Amber Dawn Kuta
- Brandee Nikole Kyle
- Cory Kyle
All providers in Jonesboro, AR · Psychiatry Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.