Supriya Shamsunder Kumar, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

01062995A Issued in IN

Practice address

330 N Wabash Ave
Suite 400
Marion, IN 46952-2780

Phone

(765) 660-7680

Fax

(765) 671-3155

NPI assigned

Oct 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radial Health Southeast LLCGroup PAC ID 7113357476, 24 clinicians

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Winter Haven, FL, CCN 107007
• Trilogy Home Healthcare Home health agency, Tampa, FL, CCN 103145
• Centerwell Home Health Home health agency, Lakeland, FL, CCN 107166
• Baycare Home Care Inc Home health agency, Lakeland, FL, CCN 107282
• Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157
• Encompass Health Rehabilitation Hospital of Lakela Inpatient rehabilitation facility, Lakeland, FL, CCN 103050

Merit-based Incentive Payment System (MIPS)

Final score

96.82 of 100Reported as group

Quality

85

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

85.82 of 100Reported as group

Quality

71.45

Promoting interoperability

100

Improvement activities

40

Cost

75.59

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: supriya.kumar@mgh.eclinicaldirectplus.com

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.

• Radial Health Southeast LLC

  • Physical Medicine & Rehabilitation Physician
  • Navarre, FL
  • NPI 1174159891
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Health Services (Certified), Inc.

  • Home Health Agency
  • Lakeland, FL
  • NPI 1427082122
  Care Compare affiliation Name & address match
• Amedisys Florida, LLC

  • Home Health Agency
  • Winter Haven, FL
  • NPI 1982662276
  Care Compare affiliation
• Balanced Home Healthcare, Inc.

  • Home Health Agency
  • Tampa, FL
  • NPI 1740509876
  Care Compare affiliation
• Baycare Home Care, Inc.

  • Home Health Agency
  • Bradenton, FL
  • NPI 1295728186
  Care Compare affiliation
• Baycare Home Care, Inc.

  • Home Health Agency
  • Lakeland, FL
  • NPI 1952309171
  Care Compare affiliation
• Encompass Health Rehabilitation Hospital of Lakeland, LLC

  • Rehabilitation Hospital
  • Lakeland, FL
  • NPI 1265104244

  Inpatient rehabilitation facility

  Care Compare affiliation
• Lakeland Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Lakeland, FL
  • NPI 1144228446
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1801886205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 NORTH WABASH AVE",
            "address_2": "SUITE G20",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522600",
            "telephone_number": "765-660-7600",
            "fax_number": "765-165-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE",
            "address_2": "SUITE 400",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522780",
            "telephone_number": "765-660-7680",
            "fax_number": "765-671-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SUPRIYA",
        "middle_name": "SHAMSUNDER",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01062995A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200845260",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000498499",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "supriya.kumar@mgh.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "330 N Wabash Ave",
            "address_2": "Suite 400",
            "city": "Marion",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469522780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Steven Kroh, RPH
• Mark A Kronberg, RPH
• Beth Ellen Krouse
• John Krumanaker, DDS
• Claire Creamer Kuefler, PSYD
• Varalakshmi Kumarswamy, MD
• Kathleen Marie Kunkle, OTA
• Arthur Kupersmith, PHD., HSPP
• Kathy Kurfman, PH.D., HSPP
• Kendrick Kwoczalla, LMHC

• Physical Medicine & Rehabilitation Physician in Marion, IN
• Providers in Marion, IN by specialty
• Physical Medicine & Rehabilitation Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.