DR. BHAVIK KUMAR MD, MPH
NPI 1003197641
Family Medicine in Houston, TX

Active since September 08, 2011PECOS Enrolled
4600 GULF FWY, HOUSTON, TX 77023(713) 522-3976(404) 494-7435 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 14, 2023, Sep 13, 2019, Jun 7, 2019 (3 updates tracked since 2019).

About Dr. Bhavik Kumar Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BHAVIK KUMAR MD, MPH (NPI 1003197641) is an individual family medicine provider in Houston, Texas, licensed in Texas (Q2321) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bedford Hts.

NPPES Registry Identity

NPI1003197641
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BHAVIK KUMARCredential: MD, MPH
Location Address4600 GULF FWYHouston, TX 77023
Mailing Address4600 Gulf FwyHouston, TX 77023-3548 · (713) 831-6240
Fax(404) 494-7435
Sole ProprietorNo
Enumeration DateSeptember 8, 2011
Last NPPES UpdateFebruary 14, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
✔ NPI 1003197641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · Q2321✔ Licensed in OH · 35.145976✔ Licensed in LA · 312179✔ Licensed in FL · ME157907
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4600 GULF FWY, Houston, TX 77023

Secondary Practice Location 1

Location 125350 Rockside RdBedford Hts, OH 44146-7110 · Phone (800) 230-7526 · Fax (440) 374-4965

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bhavik Kumar Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bhavik Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ambulatory Family Planning Facility
18 E 17TH AVE
Columbus, OH 43201
  • Reassigned Medicare billing, Ohio enrollment
  • 38 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
4600 GULF FWY
HOUSTON, TX 77023
Obstetrics & Gynecology
4600 GULF FWY
HOUSTON, TX 77023
Clinic/Center (Family Planning, Non-Surgical)
4600 GULF FWY
HOUSTON, TX 77023
Clinic/Center (Family Planning, Non-Surgical)
4600 GULF FWY
HOUSTON, TX 77023
Clinical Nurse Specialist (Women's Health)
4600 GULF FWY
HOUSTON, TX 77023
Nurse Practitioner (Family)
4600 GULF FWY
HOUSTON, TX 77023
Nurse Practitioner (Women's Health)
4600 GULF FWY, SUITE 100
HOUSTON, TX 77023
Nurse Practitioner
4600 GULF FWY
HOUSTON, TX 77023

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bhavik Kumar's NPI number?

The NPI number for Bhavik Kumar is 1003197641. It was assigned to this individual provider in the NPPES registry on September 8, 2011.

Where is Bhavik Kumar located?

Bhavik Kumar practices at 4600 Gulf Fwy, Houston, TX 77023. The listed phone number is (713) 522-3976.

What is Bhavik Kumar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bhavik Kumar enrolled in Medicare?

Yes. Bhavik Kumar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bhavik Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bhavik Kumar reassigns Medicare benefits to Planned Parenthood Of Greater Ohio (Columbus, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bhavik Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bhavik Kumar accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource, Oscar Insurance Company and Paramount list Bhavik Kumar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bhavik Kumar was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.