DR. KANTHA KUMAR D.O
NPI 1043643620
Hospitalist in Poughkeepsie, NY

Active since August 18, 2013PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
45 READE PL, POUGHKEEPSIE, NY 12601(845) 454-8500 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kantha Kumar D.o NPPES

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

DR. KANTHA KUMAR D.O (NPI 1043643620) is an individual hospitalist provider in Poughkeepsie, New York, licensed in New York (279622) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2012).

NPPES Registry Identity

NPI1043643620
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. KANTHA KUMARCredential: D.O
Location Address45 READE PLPoughkeepsie, NY 12601-3947
Mailing Address1351 Route 55, Suite 200Lagrangeville, NY 12540-5108 · (845) 475-9622 · Fax (845) 475-9938
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2012
Enumeration DateAugust 18, 2013
Last NPPES UpdateJanuary 6, 2017
NPI 1043643620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NY · 279622
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 279622 (NY)
45 READE PL, Poughkeepsie, NY 12601

Other Identifiers 2

Medicaid04238299NY
Medicare PINA400127897NY

Accepted 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

Dr. Kantha Kumar D.o 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 ID5991012627
PECOS Enrollment IDI20150914001345
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 5

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
266 services255 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
207 services204 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
86 services82 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Northern Dutchess Hospital

Acute Care Hospitals · Rhinebeck, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330049
Location6511 Springbrook AvenueRhinebeck, NY 12572 · Dutchess County
Emergency services Birthing friendly

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330264
Location70 Dubois StreetNewburgh, NY 12550 · Orange County
Emergency services Birthing friendly

Ellenville Regional Hospital

Critical Access Hospitals · Ellenville, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331310
Location10 Healthy WayEllenville, NY 12428 · Ulster County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12601 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics (Neonatal-Perinatal Medicine)
45 READE PL
POUGHKEEPSIE, NY 12601
Nurse Practitioner (Acute Care)
45 READE PL
POUGHKEEPSIE, NY 12601
Student in an Organized Health Care Education/Training Program
45 READE PL
POUGHKEEPSIE, NY 12601
Physician Assistant (Surgical)
45 READE PL, VASSAR BROTHERS MEDICAL CENTER
POUGHKEEPSIE, NY 12601
Pathology (Anatomic Pathology & Clinical Pathology)
45 READE PL
POUGHKEEPSIE, NY 12601
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Nurse Anesthetist, Certified Registered
45 READE PL
POUGHKEEPSIE, NY 12601

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 Kantha Kumar's NPI number?

The NPI number for Kantha Kumar is 1043643620. It was assigned to this individual provider in the NPPES registry on August 18, 2013.

Where is Kantha Kumar located?

Kantha Kumar practices at 45 Reade Pl, Poughkeepsie, NY 12601. The listed phone number is (845) 454-8500.

What is Kantha Kumar's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Kantha Kumar enrolled in Medicare?

Yes. Kantha 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 Kantha Kumar accept?

Health plans from AvMed list Kantha 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 Kantha Kumar affiliated with any hospitals?

According to CMS data, Kantha Kumar is affiliated with Vassar Brothers Medical Center, Northern Dutchess Hospital, St Luke's Cornwall Hospital and Ellenville Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kantha Kumar was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.