Individual provider Active NPI

Bipin Kumar, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Wetumpka, AL
National Provider Identifier
1710939376
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
8192 Issued in AL
Practice address
73996 Tallassee Hwy
Wetumpka, AL 36092-7310
Phone
(334) 567-4116
Fax
(334) 567-8039
NPI assigned
May 16, 2006
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 8192 AL Primary

Addresses

Primary practice location

73996 Tallassee Hwy
Wetumpka, AL 36092-7310

Mailing address

73996 Tallassee Hwy
Wetumpka, AL 36092-7310
Phone (334) 567-4116

Other identifiers 2

IdentifierTypeStateIssuer
51043492OtherALBLUE CROSS BLUE SHIELD
00043492MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080123000391 AL Practitioner - Internal Medicine 1254413768 Reassigns benefits to 2 organizations
Practice locations: Wetumpka, AL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivy Creek of Elmore LLCGroup PAC ID 8426075508, 99 clinicians
Ivy Creek Medical AssociatesGroup PAC ID 7012370497, 2 clinicians

Practice addresses (Care Compare)

500 Hospital Dr
Wetumpka, AL 36092-1625
Phone (334) 514-3848

73996 Tallassee Hwy
Wetumpka, AL 36092-7310
Phone (334) 567-4116

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8192ALMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ivy Creek of Elmore, LLC CurrentSince May 26, 2019 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
Ivy Creek Medical Associates CurrentSince Jul 17, 2023 Accepting new patients
Ivy Creek of Elmore LLC CurrentSince May 26, 2019 Accepting new patients

Locations

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

500 Hospital Dr
Ste B
Wetumpka, AL 36092
Phone (334) 567-4311

73996 Tallassee Hwy
Wetumpka, AL 36092
Phone (334) 567-4116

Organizations & group practices 4

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 3

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1710939376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73996 TALLASSEE HWY",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360927310",
            "telephone_number": "334-567-4116",
            "fax_number": "334-567-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73996 TALLASSEE HWY",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360927310",
            "telephone_number": "334-567-4116",
            "fax_number": "334-567-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "BIPIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "AL",
            "license": "8192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51043492",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00043492",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wetumpka, AL

Sources for this page

Verify at the official NPI Registry.