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

Q: 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.

Q: What is Karan Kumar's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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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

Phone(631) 608-5620

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

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Other Identifiers 1

Medicaid00490244NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

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.

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.

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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.

VICTORIA LYN SPAHN

Counselor (Professional)