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DR. MRIDUL GAUTAM KUMAR M.D.
NPI 1033300553
Emergency Medicine in Brooklyn, NY

Active since August 08, 2007PECOS Enrolled
50.03/100
CMS Quality Rating
451 CLARKSON AVE, KINGS COUNTY HOSPITAL - EMERGENCY DEPARTMENT, BROOKLYN, NY 11203(718) 245-4790 Get Directions Write a Review

NPPES record last updated: August 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mridul Gautam Kumar M.d. NPPES

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

DR. MRIDUL GAUTAM KUMAR M.D. (NPI 1033300553) is an individual emergency medicine provider in Brooklyn, New York, licensed in New York (245585) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033300553
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MRIDUL GAUTAM KUMARCredential: M.D.
Location Address451 CLARKSON AVE, KINGS COUNTY HOSPITAL - EMERGENCY DEPARTMENTBrooklyn, NY 11203-2057
Mailing Address451 Clarkson Ave, Kings County Hospital - Emergency DepartmentBrooklyn, NY 11203-2057
Phone(718) 245-4790
Sole ProprietorYes
Enumeration DateAugust 8, 2007
✔ NPI 1033300553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 245585
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
451 CLARKSON AVE, Brooklyn, NY 11203
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mridul Gautam Kumar M.d. 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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
313 services292 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
102 services99 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
94 services89 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

50.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality51.05
Improvement Activities0
Cost39.84

Other Providers at the Same Location NPPES 20

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

GEORGETTE JONES LCSW
Social Worker (Clinical)
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-3131
DR. NINAD DESAI MD
Pediatrics (Pediatric Hematology-Oncology)
451 CLARKSON AVE, KINGS COUNTY HOSPITAL CENTER; B 6202
BROOKLYN, NY 11203
Kings County (718) 245-4105
MS. BARBARA ANGELA HENDERSON RRT
General Acute Care Hospital
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4526
VIKTORIYA TKACHENKO M.D.
Internal Medicine
451 CLARKSON AVE, BOX 22
BROOKLYN, NY 11203
Kings County (718) 245-2237
LANCE WINSLOW PSYD
Psychologist
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-1162
LYDIE KOHLER MCKENZIE MD
Emergency Medicine
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4616
LEELA VENKAT MD
Anesthesiology
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4408
KINGS COUNTY HOSPITAL
General Acute Care Hospital
451 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-2891

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 Mridul Kumar's NPI number?

The NPI number for Mridul Kumar is 1033300553. It was assigned to this individual provider in the NPPES registry on August 8, 2007.

Where is Mridul Kumar located?

Mridul Kumar practices at 451 Clarkson Ave Kings County Hospital - Emergency Department, Brooklyn, NY 11203. The listed phone number is (718) 245-4790.

What is Mridul Kumar's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mridul Kumar enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mridul Kumar was last updated on August 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.