MRS. PAYAL KOUL-KUMAR PT
NPI 1033601273
Physical Therapist in Granger, IN

Active since June 04, 2018Accepts Medicare Assignment
12655 STATE ROAD 23, GRANGER, IN 46530(574) 343-6427 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Payal Koul-kumar Pt NPPES

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

MRS. PAYAL KOUL-KUMAR PT (NPI 1033601273) is an individual physical therapist in Granger, Indiana, licensed in Indiana (05010642A) and active in the NPI registry since June 2018. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1033601273
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. PAYAL KOUL-KUMARCredential: PT
Location Address12655 STATE ROAD 23Granger, IN 46530-9641
Mailing Address15697 Cedar Cove DrGranger, IN 46530-7870 · (574) 343-6954
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJune 4, 2018
✔ NPI 1033601273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in IN · 05010642A
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
12655 STATE ROAD 23, Granger, IN 46530

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Payal Koul-kumar Pt 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 ID5193078046
PECOS Enrollment IDI20181023003658

Medicare Billing Reassignments

2

Medicare enrollment records show Payal Koul-kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
343 E 90TH DR
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 213 clinicians in this Medicare group
Physical Therapist
11570 E 126TH STREET
Fishers, IN 46037
  • Reassigned Medicare billing, Indiana enrollment
  • 151 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 46530 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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 3

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

Clinic/Center (Physical Therapy)
12655 STATE ROAD 23
GRANGER, IN 46530
Physical Therapist
12655 STATE ROAD 23
GRANGER, IN 46530
Home Health
12655 STATE ROAD 23
GRANGER, IN 46530

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 Payal Koul-kumar's NPI number?

The NPI number for Payal Koul-kumar is 1033601273. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is Payal Koul-kumar located?

Payal Koul-kumar practices at 12655 State Road 23, Granger, IN 46530. The listed phone number is (574) 343-6427.

What is Payal Koul-kumar's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Payal Koul-kumar enrolled in Medicare?

Yes. Payal Koul-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.

Which organizations bill Medicare for Payal Koul-kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Payal Koul-kumar reassigns Medicare benefits to 2 organizations: Healthpro Heritage Rehab & Fitness, LLC (Merrillville, IN) and Creative Health Care Management LLC (Fishers, IN). Each 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 Payal Koul-kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Payal Koul-kumar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Payal Koul-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 Payal Koul-kumar was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.