DR. RISHI KUMAR M.D., M.B.A.
NPI 1043638810
Internal Medicine in Washington, DC

Q: What is Rishi Kumar's NPI number?

The NPI number for Rishi Kumar is 1043638810. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Q: What is Rishi Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Rishi Kumar was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment

5255 LOUGHBORO RD NW, WASHINGTON, DC 20016(202) 537-4000 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2026, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Rishi Kumar M.d., M.b.a. NPPES

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

DR. RISHI KUMAR M.D., M.B.A. (NPI 1043638810) is an individual internal medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD045004) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1043638810

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. RISHI KUMARCredential: M.D., M.B.A.

Location Address5255 LOUGHBORO RD NWWashington, DC 20016-2633

Mailing Address5255 Loughboro Rd NwWashington, DC 20016-2633 · (202) 537-4000

Phone(202) 537-4000

Sole ProprietorNo

Medical School CMSMayo Medical SchoolGraduated 2014

Enumeration DateMarch 31, 2014

Last NPPES UpdateAugust 13, 20264 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1043638810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in DC · MD045004✔ Licensed in RI · MD21582

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5255 LOUGHBORO RD NW, Washington, DC 20016

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Secondary Practice Locations 3

Location 1701 Park Ave, Medicine Hennepin County Medical CenterMinneapolis, MN 55415-1623 · Phone (612) 873-6963 · Fax (612) 904-4358

Location 2712 Broad StProvidence, RI 02907-1465 · Phone (401) 233-5060

Location 32000 Diamond Hill Rd Ste 18Woonsocket, RI 02895-1554 · Phone (401) 470-7116

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

Dr. Rishi Kumar M.d., M.b.a. 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 ID1759689433

PECOS Enrollment IDI20241216002454

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 Reassignments

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

Sound Physicians Of Massachusetts, Inc

326 mi

Internal Medicine

575 BEECH ST
Holyoke, MA 01040

Reassigned Medicare billing, Massachusetts enrollment
337 clinicians in this Medicare group

NPI 1184178386 (413) 534-2500

Osh - Ri Physicians Group, PC

352 mi

Primary Care

300 QUAKER LN # C2-4
Warwick, RI 02886

Reassigned Medicare billing, Rhode Island enrollment
60 clinicians in this Medicare group

NPI 1063984813 (312) 733-9730

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services15 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220052

Location680 Center StreetBrockton, MA 02302 · Plymouth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Respiratory suction pump, home model, portable or stationary, electric E0600

DME-Other DME · category DE000N

1 supplier11 claims11 services$36.21 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$71.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DANIEL RICHARD STAIRIKER CRNP

Nurse Practitioner