DR. RAHUL KUMAR M.D.
NPI 1073954285
Internal Medicine - Critical Care Medicine in Cleveland, OH

Q: What is Rahul Kumar's NPI number?

The NPI number for Rahul Kumar is 1073954285. It was assigned to this individual provider in the NPPES registry on July 16, 2013.

Q: What is Rahul Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Rahul Kumar was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 16, 2013PECOS EnrolledAccepts Medicare Assignment

92.93/100

CMS Quality Rating

9500 EUCLID AVE, CLEVELAND, OH 44195(216) 444-2200 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Rahul Kumar M.d. NPPES

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

DR. RAHUL KUMAR M.D. (NPI 1073954285) is an individual critical care medicine provider in Cleveland, Ohio, licensed in Georgia (88149) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1073954285

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameDR. RAHUL KUMARCredential: M.D.

Location Address9500 EUCLID AVECleveland, OH 44195-0001

Mailing Address400 Tower Rd Ne Ste 200Marietta, GA 30060-9412 · (770) 422-1372 · Fax (770) 999-2488

Phone(216) 444-2200

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 16, 2013

Last NPPES UpdateOctober 27, 2021

NPPES CertifiedOctober 27, 2021

✔ NPI 1073954285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in GA · 88149

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35.127172 (OH), 57.022412 (OH)

9500 EUCLID AVE, Cleveland, OH 44195

Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 Tower Rd NE Ste 200Marietta, GA 30060-9412 · Phone (770) 422-1372 · Fax (770) 999-2488

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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. Rahul Kumar M.d. 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 ID1951682913

PECOS Enrollment IDI20210916003165

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 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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

118 services64 patients

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.

87 services64 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110035

Location677 Church StreetMarietta, GA 30060 · Cobb County

Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110143

Location3950 Austell RdAustell, GA 30106 · Cobb County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44195 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

92.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.38

Promoting Interoperability

100

Improvement Activities

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.

MS. MARY COLLEEN RATH R.D., L.D., CNSC

Dietitian, Registered

9500 EUCLID AVE, M17
CLEVELAND, OH 44195

Cuyahoga County (216) 444-6986

DR. CHRISTOPHER F TENGGARDJAJA M.D.

Urology (Urogynecology and Reconstructive Pelvic Surgery)

9500 EUCLID AVE, Q10-1
CLEVELAND, OH 44195

Cuyahoga County (216) 444-5600

DR. MASATO FUJIKI M.D., PH.D.

Surgery

9500 EUCLID AVE
CLEVELAND, OH 44195

Cuyahoga County (216) 444-8007

KRISTIN R JOHNSON CNP

Nurse Practitioner

9500 EUCLID AVE
CLEVELAND, OH 44195

Cuyahoga County (800) 223-2273

MONICA LYNN SHEIN CRNA

Nurse Anesthetist, Certified Registered

9500 EUCLID AVE
CLEVELAND, OH 44195

Cuyahoga County (800) 223-2273

MRS. TONYA RENEE GOINGS ACNP-BC

Nurse Practitioner (Acute Care)

9500 EUCLID AVE, SUITE RC25
CLEVELAND, OH 44195

Cuyahoga County (216) 444-2200

MS. DANA ANNE RUBIS CNP

Nurse Practitioner (Critical Care Medicine)

9500 EUCLID AVE, G58
CLEVELAND, OH 44195

Cuyahoga County (216) 444-5086

DR. RACHAEL C SULLIVAN M.D.

Surgery

9500 EUCLID AVE
CLEVELAND, OH 44195

Cuyahoga County (440) 449-1101

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 Rahul Kumar's NPI number?

The NPI number for Rahul Kumar is 1073954285. It was assigned to this individual provider in the NPPES registry on July 16, 2013.

Where is Rahul Kumar located?

Rahul Kumar practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (216) 444-2200.

What is Rahul Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Rahul Kumar enrolled in Medicare?

Yes. Rahul 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 Rahul Kumar accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Rahul 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 Rahul Kumar affiliated with any hospitals?

According to CMS data, Rahul Kumar is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Rahul Kumar was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.