Organization Active NPI

Mohan S Kumar MD PLLC

  • Cardiovascular Disease Physician
  • Webster, TX
National Provider Identifier
1891378097
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MOHAN S KUMAR MD PLLC
Practice address
16969 N Texas Ave Ste 100
Webster, TX 77598-4094
Phone
(281) 915-2215
Fax
(281) 915-2216
NPI assigned
May 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Dr. Mohan S Kumar, MDNPI 1710929575
Title
Owner
Phone
(713) 320-6139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

16969 N Texas Ave Ste 100
Webster, TX 77598-4094

Mailing address

14206 Lake Scene TRL
Houston, TX 77059-4408
Phone (713) 320-6139

Other practice location 1

16969 N Texas Ave
Webster, TX 77598-4085
Phone (281) 915-2215

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address IKumar@premiercardiologyclinic.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210601001444 TX Part B Supplier - Clinic/Group Practice 6608275227 Receives reassigned benefits from 2 practitioners
Practice locations: Webster, TX

National Provider Directory

National Provider Directory
Tax ID family
Mohan S Kumar MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16969 N Texas Ave
Webster, TX 77598
Phone (281) 915-2215

Interoperability endpoints

  • Direct secure messaging: ikumar@premiercardiologyclinic.com

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1891378097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14206 LAKE SCENE TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770594408",
            "telephone_number": "713-320-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16969 N TEXAS AVE STE 100",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984094",
            "telephone_number": "281-915-2215",
            "fax_number": "281-915-2216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16969 N Texas Ave",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984085",
            "country_code": "US",
            "telephone_number": "281-915-2215",
            "fax_number": "281-915-2216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOHAN S KUMAR MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-320-6139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "IKumar@premiercardiologyclinic.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16969 N Texas Ave Ste 100",
            "city": "Webster",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775984094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.