NPIMap

Individual provider Active NPI

Mahesh Kumar, MD

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1871835900
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
S9728 Issued in TX
Practice address
14855 Blanco Rd Ste 355
San Antonio, TX 78216-7731
Phone
(210) 896-4539
Fax
(210) 236-8991
NPI assigned
Mar 27, 2013
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 59734 MN
Student in an Organized Health Care Education/Training Program 390200000X MN
Psychiatry Physician 2084P0800X 59734 MN
Psychiatry Physician 2084P0800X S9728 TX Primary

Addresses

Primary practice location

14855 Blanco Rd Ste 355
San Antonio, TX 78216-7731

Mailing address

PO Box 593499
San Antonio, TX 78259-0224
Phone (210) 896-4539

Other practice location 1

17720 Corporate Woods Dr
San Antonio, TX 78259-3500
Phone (210) 896-4539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151112002744 MN Practitioner - Psychiatry 6002126588 Reassigns benefits to 5 organizations
I20210526001712 TX Practitioner - Psychiatry 6002126588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Cloud HospitalGroup PAC ID 4880594779, 215 clinicians

Practice addresses (Care Compare)

110 2ND St S
Suite 104
Waite Park, MN 56387-1367
Phone (320) 259-9375

1406 6TH Ave N
Saint Cloud, MN 56303-1900
Phone (320) 251-2700

1406 6TH Ave No
St Cloud, MN 56303-1901

17720 Corporate Woods Dr
San Antonio, TX 78259-3500
Phone (210) 896-4539

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59734MNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Cloud Hospital Current Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Centracare Health System-NR LLC CurrentSince Aug 1, 2018 Accepting new patients
Kumar BHP LLC Psychiatry CurrentSince Jun 1, 2021 Accepting new patients
St Cloud Pathologists PA Current Accepting new patients
Regional Diagnostic Radiology Current Accepting new patients
Centracare Health System-NR LLC Current Accepting new patients
St. Cloud Hospital CurrentSince Jan 11, 2016 Accepting new patients
Group Health, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Centracare Health System-NR LLC CurrentSince Aug 1, 2018 Accepting new patients
Group Health, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Texas Laurel Ridge Hospital LP Past Accepting new patients

Locations

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

14855 Blanco Rd
Ste 355
San Antonio, TX 78216
Phone (210) 866-9850

17720 Corporate Woods Dr
San Antonio, TX 78259
Phone (210) 491-9400

Interoperability endpoints

  • Direct secure messaging: maheshkumar@tdh.allscriptsdirect.net
  • Direct secure messaging: mkumar281115@direct.centracare.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1871835900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593499",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590224",
            "telephone_number": "210-896-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14855 BLANCO RD STE 355",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167731",
            "telephone_number": "210-896-4539",
            "fax_number": "210-236-8991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17720 Corporate Woods Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782593500",
            "country_code": "US",
            "telephone_number": "210-896-4539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "MAHESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MN",
            "license": "59734",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "59734",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S9728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.