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SURESH KUMAR MD
NPI 1023532058
Internal Medicine - Rheumatology in Smithfield, NC

Active since August 01, 2017PECOS EnrolledAccepts Medicare Assignment
507 N BRIGHTLEAF BLVD STE 202, SMITHFIELD, NC 27577(919) 934-3022(919) 934-4133 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 8, 2023, Aug 1, 2017 (2 updates tracked since 2017).

About Suresh Kumar Md NPPES

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

SURESH KUMAR MD (NPI 1023532058) is an individual rheumatology provider in Smithfield, North Carolina, licensed in North Carolina (2025-01383) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Johnston Health, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1023532058
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameSURESH KUMARCredential: MD
Location Address507 N BRIGHTLEAF BLVD STE 202Smithfield, NC 27577-4405
Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490 · (984) 215-4111
Phone(919) 934-3022
Fax(919) 934-4133
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 1, 2017
Last NPPES UpdateOctober 1, 20252 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1023532058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in NC · 2025-01383✔ Licensed in FL · ME163578
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
507 N BRIGHTLEAF BLVD STE 202, Smithfield, NC 27577
Open in Google Maps ↗

Secondary Practice Location 1

Location 14728 N Habana Ave Ste 303Tampa, FL 33614-7183 · Phone (813) 343-0400 · Fax (813) 666-2806

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Blue Cross and Blue Shield of NC, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Suresh Kumar Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527489996
PECOS Enrollment IDI20230817003938, I20251020001234
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27577 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 2

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

RAJIV T MAJITHIA MD FACG AGAF
Internal Medicine (Gastroenterology)
507 N BRIGHTLEAF BLVD STE 202
SMITHFIELD, NC 27577
Johnston County (919) 791-2040
MELINDA ANN RUSNACK
Physician Assistant
507 N BRIGHTLEAF BLVD STE 202
SMITHFIELD, NC 27577
Johnston County (919) 791-2040

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 Suresh Kumar's NPI number?

The NPI number for Suresh Kumar is 1023532058. It was assigned to this individual provider in the NPPES registry on August 1, 2017.

Where is Suresh Kumar located?

Suresh Kumar practices at 507 N Brightleaf Blvd Ste 202, Smithfield, NC 27577. The listed phone number is (919) 934-3022.

What is Suresh Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Suresh Kumar enrolled in Medicare?

Yes. Suresh Kumar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Suresh Kumar accept?

Health plans from AvMed, Blue Cross and Blue Shield of NC, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. and 2 other insurers list Suresh 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.

Is Suresh Kumar affiliated with any hospitals?

According to CMS data, Suresh Kumar is affiliated with Johnston Health and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Suresh Kumar was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.