NPIMap

Individual provider Active NPI

Aravind K Kumar, MD

  • Internal Medicine Physician
  • West Melbourne, FL
National Provider Identifier
1871539072
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME97764 Issued in FL
Practice address
2795 W New Haven Ave
West Melbourne, FL 32904-3705
Phone
(321) 622-8626
Fax
(321) 622-8627
NPI assigned
Jun 22, 2006
Last updated
Feb 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME97764 FL Primary

Addresses

Primary practice location

2795 W New Haven Ave
West Melbourne, FL 32904-3705

Mailing address

2795 W New Haven Ave
West Melbourne, FL 32904-3705
Phone (321) 622-8626

Other identifiers 1

IdentifierTypeStateIssuer
277484400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070823000377 FL Practitioner - Internal Medicine 6507844560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Internal Medicine and Walk-in ClinicGroup PAC ID 9133254980, 3 clinicians
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

2795 W New Haven Ave
West Melbourne, FL 32904-3705
Phone (321) 622-8626

4270 Minton Rd
West Melbourne, FL 32904-9579
Phone (321) 984-2933

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME97764FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC Current Accepting new patients
Brevard Internal Medicine & Walk-in Clinic CurrentSince Mar 1, 2010 Accepting new patients
KND Development 59, LLC CurrentSince Jan 23, 2017 Accepting new patients
KND Development 59, LLC CurrentSince Jan 23, 2017 Accepting new patients
Osler Medical Inc Past Accepting new patients

Locations

765 W Nasa Blvd
Melbourne, FL 32901
Phone (321) 409-4042

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

2795 W New Haven Ave
West Melbourne, FL 32904
Phone (321) 622-8626

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: akumar71408@epicdirect.hf.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1871539072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 W NEW HAVEN AVE",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043705",
            "telephone_number": "321-622-8626",
            "fax_number": "321-622-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 W NEW HAVEN AVE",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043705",
            "telephone_number": "321-622-8626",
            "fax_number": "321-622-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "ARAVIND",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME97764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277484400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Melbourne, FL

Sources for this page

Verify at the official NPI Registry.