KARAN KUMAR MD
NPI 1063400042
Psychiatry & Neurology - Geriatric Psychiatry in Amityville, NY

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
400 SUNRISE HWY, AMITYVILLE, NY 11701(631) 608-5620(631) 396-0382 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Karan Kumar Md NPPES

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

KARAN KUMAR MD (NPI 1063400042) is an individual geriatric psychiatry provider in Amityville, New York, licensed in New York (142753-1) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1963).

NPPES Registry Identity

NPI1063400042
Entity TypeIndividualMale
Primary Taxonomy2084P0805X
Provider Legal NameKARAN KUMARCredential: MD
Location Address400 SUNRISE HWYAmityville, NY 11701-2508
Mailing Address400 Sunrise HwyAmityville, NY 11701-2508 · (631) 608-5620 · Fax (631) 396-0382
Fax(631) 396-0382
Sole ProprietorYes
Medical School CMSOtherGraduated 1963
Enumeration DateOctober 12, 2005
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1063400042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License✔ Licensed in NY · 142753-1
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 142753-1 (NY)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 142753-1 (NY)
400 SUNRISE HWY, Amityville, NY 11701

Other Identifiers 1

Medicaid00490244NY

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

Karan 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 ID7618930199
PECOS Enrollment IDI20041105000350
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

2

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

Psychiatric Hospital
400 SUNRISE HWY
Amityville, NY 11701
  • Reassigned Medicare billing, New York enrollment
  • 123 clinicians in this Medicare group
Psychiatry
5512 MERRICK RD, SUITE 2A
Massapequa, NY 11758
  • Reassigned Medicare billing, New York enrollment

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 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.

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.
977 services121 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
118 services70 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
77 services77 patients
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.
42 services32 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11701 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
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.

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.

Counselor (Professional)
400 SUNRISE HWY
AMITYVILLE, NY 11701
Psychiatry & Neurology (Psychiatry)
400 SUNRISE HWY
AMITYVILLE, NY 11701
Social Worker
400 SUNRISE HWY
AMITYVILLE, NY 11701
Social Worker
400 SUNRISE HWY
AMITYVILLE, NY 11701
Dance Therapist
400 SUNRISE HWY
AMITYVILLE, NY 11701
Counselor (Mental Health)
400 SUNRISE HWY
AMITYVILLE, NY 11701
Skilled Nursing Facility
400 SUNRISE HWY
AMITYVILLE, NY 11701
Psychiatry & Neurology (Psychiatry)
400 SUNRISE HWY
AMITYVILLE, NY 11701

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 Karan Kumar's NPI number?

The NPI number for Karan Kumar is 1063400042. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Karan Kumar located?

Karan Kumar practices at 400 Sunrise Hwy, Amityville, NY 11701. The listed phone number is (631) 608-5620.

What is Karan Kumar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is Karan Kumar enrolled in Medicare?

Yes. Karan 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 Karan Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karan Kumar reassigns Medicare benefits to 2 organizations: The Long Island Home (Amityville, NY) and Long Island Comprehensive Psychiatry PC (Massapequa, NY). 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 Karan Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karan Kumar was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.