Individual provider Active NPI

Nitin Kumar, M.D

  • Pediatrics Physician
  • Yardley, PA
National Provider Identifier
1831577055
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD464707 Issued in PA
Practice address
680 Heacock Rd Ste 101
Yardley, PA 19067-6346
Phone
(215) 493-8080
NPI assigned
May 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD464707 PA Primary

Addresses

Primary practice location

680 Heacock Rd Ste 101
Yardley, PA 19067-6346

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-1324

Other practice location 1

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (724) 201-5180

Other practice location 2

1001 E 2nd St
Coudersport, PA 16915-8161
Phone (814) 274-9198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20181214002627 PA Practitioner - Pediatric Medicine 1254632649 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD464707PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
STC Pediatrics LLC Pediatrics Current Accepting new patients
The Metrohealth System Current Accepting new patients
STC Pediatrics LLC Pediatrics CurrentSince Oct 9, 2023 Accepting new patients
STC Pediatrics LLC Pediatrics CurrentSince Oct 9, 2023 Accepting new patients
STC Pediatrics LLC Pediatrics Past Accepting new patients
Charles Cole Memorial Hopstial Pediatrics Past Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

680 Heacock Rd
Ste 101
Yardley, PA 19067
Phone (215) 493-6519

Interoperability endpoints

  • Direct secure messaging: nkumar92949@direct.metrohealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1831577055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579",
            "telephone_number": "484-628-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 HEACOCK RD STE 101",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676346",
            "telephone_number": "215-493-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Metrohealth Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44109",
            "country_code": "US",
            "telephone_number": "724-201-5180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Coudersport",
            "state": "PA",
            "postal_code": "169158161",
            "country_code": "US",
            "telephone_number": "814-274-9198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "NITIN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-07",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD464707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.