Individual provider Active NPI

Kartik Sampath Kumar, M.D.

  • Ophthalmology Physician
  • Irving, TX
National Provider Identifier
1699972364
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
P4972 Issued in TX
Practice address
3200 N Macarhur Blvd
Suite 200
Irving, TX 75062-1521
Phone
(972) 258-7979
Fax
(972) 570-5502
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X P4972 TX Primary

Addresses

Primary practice location

3200 N Macarhur Blvd
Suite 200
Irving, TX 75062-1521

Mailing address

3200 N Macarhur Blvd
Suite 200
Irving, TX 75062-1521
Phone (972) 258-7979

Other identifiers 2

IdentifierTypeStateIssuer
316722301MedicaidTX
316722302OtherTXCSHCN

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
I20130511000015 TX Practitioner - Ophthalmology 9931373651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Eyecare of North Texas PLLCGroup PAC ID 1052754553, 5 clinicians

Practice addresses (Care Compare)

3200 N Macarthur Blvd
Suite 200
Irving, TX 75062-4404
Phone (972) 258-7979

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P4972TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. CurrentSince Dec 23, 2023 Accepting new patients
Pediatric Eyecare of North Texas, PLLC Ophthalmology CurrentSince Jan 1, 2024 Accepting new patients
University Eye Associates Ophthalmology Past Accepting new patients

Locations

2261 Brookhollow Plaza Dr
Ste 104
Arlington, TX 76006
Phone (972) 258-7979

2261 Brookhollow Plaza Dr
Ste 209
Arlington, TX 76006
Phone (972) 258-7978

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

6411 Fannin St
Fl 7
Houston, TX 77030
Phone (713) 704-1777

3200 N MacArthur Blvd
Ste 200
Irving, TX 75062
Phone (972) 252-1600

2700 W Pleasant Run Rd
Ste 220
Lancaster, TX 75146
Phone (888) 871-1883

10223 Broadway St
Ste E
Pearland, TX 77584
Phone (713) 340-2848

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

7000 W Plano Pkwy
Ste 220
Plano, TX 75093
Phone (214) 778-3000

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1699972364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N MACARHUR BLVD",
            "address_2": "SUITE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750621521",
            "telephone_number": "972-258-7979",
            "fax_number": "972-570-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N MACARHUR BLVD",
            "address_2": "SUITE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750621521",
            "telephone_number": "972-258-7979",
            "fax_number": "972-570-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "KARTIK",
        "middle_name": "SAMPATH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P4972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316722301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "316722302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.