Individual provider Active NPI

Tarun Kumar, M.D.

  • Pediatric Surgery Physician
  • Des Moines, IA
National Provider Identifier
1922105303
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
MS01001 Issued in WV
Practice address
330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone
(515) 643-5454
Fax
(515) 643-5460
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X MS01001 WV Primary
Pediatric Surgery Physician 2086S0120X 2008004920 MO

Addresses

Primary practice location

330 Laurel St
Suite 1200
Des Moines, IA 50314-3044

Mailing address

PO Box 4925
Des Moines, IA 50305-4925
Phone (515) 643-5454

Other identifiers 1

IdentifierTypeStateIssuer
3810000942MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140421000923 IA Practitioner - Pediatric Medicine 3072575372 Reassigns benefits to 1 organization
I20240624000485 PA Practitioner - General Surgery 3072575372 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group Inc. CurrentSince May 6, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince May 6, 2024 Accepting new patients
Mercy Clinics, Inc Pediatric Surgery CurrentSince Feb 1, 2014 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Feb 1, 2014 Accepting new patients
Sequoia Health Services Past Accepting new patients
Upmc Washington Past Accepting new patients
Family Asthma and Allergy Center P.C. Past Accepting new patients
Washington Township Hospital District Past Accepting new patients
Catholic Health Initiatives-Iowa Corp Past Accepting new patients

Locations

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: tkumar321143@direct-sluhn.org
  • Direct secure messaging: tkumar3949933@direct.trinity-health.org

Organizations & group practices 11

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1922105303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4925",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503054925",
            "telephone_number": "515-643-5454",
            "fax_number": "515-643-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LAUREL ST",
            "address_2": "SUITE 1200",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143044",
            "telephone_number": "515-643-5454",
            "fax_number": "515-643-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "TARUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "WV",
            "license": "MS01001",
            "primary": true
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MO",
            "license": "2008004920",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000942",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.