Kusum Garg, M.D.
Individual provider Active NPI Internal Medicine Physician · Fayetteville, NC
NPI 1942280607 · NPPES record last updated Mar 10, 2016
Key facts
- NPI
- 1942280607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 9900224 (NC)
- Practice address
- 2356 John Smith Rd
Suite 101
Fayetteville, NC 28306-2618 - Phone
- (910) 920-1450
- Fax
- (910) 920-1864
- NPI assigned
- Jan 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 22
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cumberland County Hospital System Inc
Practice addresses (Care Compare)
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000
2356 John Smith Rd
Suite 101
Fayetteville, NC 28306-4009
Phone (910) 339-2274
Hospital & facility affiliations
- Aveanna Home Health
- Amedisys Home Health of Fayetteville
- Bayada Home Health Care, Inc.
- Cape Fear Valley Home Health
- Well Care Home Health of the Southern Triangle, Inc.
- Cape Fear Valley Medical Center
- Cape Fear Valley Hoke Hospital
- Betsy Johnson Regional Hospital
- Highsmith Rainey Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071114000159 | NC | Practitioner - Internal Medicine | 0547358269 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current |
Accepting new patients | |
| Cumberland County Hospital System Inc | Current |
Accepting new patients | |
| Cumberland County Hospital System Inc | Past | Accepting new patients |
Locations
2356 John Smith Rd
Ste 101
Fayetteville, NC 28306
Phone (910) 339-2274
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
Interoperability endpoints
- kgarg10273@capefearvalley.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9900224 | NC | Yes |
Addresses
Primary practice location
2356 John Smith Rd
Suite 101
Fayetteville, NC 28306-2618
Mailing address
2356 John Smith Rd
Suite 101
Fayetteville, NC 28306-2618
Phone (910) 920-1450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1200A | Other | NC | BCBS OF NC |
| 891200A | Medicaid | NC |
Other providers in Fayetteville, NC
- Monica Garde
- Nicole Gardner-Wilson
- Edna Joyce Gardner
- Kimberly Gardner
- William Grant Gardner
- Sanjay Garg
- Justyna Gargala
- Marie Garmilla
- Derrick L. Garner
- Alice Marie Garrastegui
All providers in Fayetteville, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.