ANUSHA KUMBAM MD
NPI 1083020036
Internal Medicine in Grand Rapids, MI

Active since July 09, 2014PECOS EnrolledAccepts Medicare Assignment
4300 CASCADE RD SE, GRAND RAPIDS, MI 49546(616) 252-1500(616) 252-1599 Get Directions Write a Review

NPPES record last updated: August 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 1, 2018, Jul 26, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Anusha Kumbam Md NPPES

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

ANUSHA KUMBAM MD (NPI 1083020036) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301111796) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1083020036
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameANUSHA KUMBAMCredential: MD
Location Address4300 CASCADE RD SEGrand Rapids, MI 49546
Mailing Address5900 Byron Center Ave Sw, Medical AdministrationWyoming, MI 49519-9606 · (616) 252-3243 · Fax (616) 252-0260
Fax(616) 252-1599
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 9, 2014
Last NPPES UpdateAugust 1, 20184 updates tracked since enumeration
NPI 1083020036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MI · 4301111796 Licensed in IL · 125065101
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.
4300 CASCADE RD SE, Grand Rapids, MI 49546

Secondary Practice Location 1

Location 11901 W Harrison StChicago, IL 60612-3714 · Phone (312) 864-6000

Other Identifiers 1

Medicaid1083020036MI

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

Anusha Kumbam 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 ID5698071108
PECOS Enrollment IDI20200131002334
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 4

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.
197 services81 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.
61 services59 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.
44 services44 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
43 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $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.

Referred Medical Equipment & Supplies CMS DME claims

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

Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$44.69 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 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Family Medicine (Sports Medicine)
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Internal Medicine
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Physician Assistant
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Internal Medicine
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Orthopaedic Surgery
4300 CASCADE RD SE, SUITE 103
GRAND RAPIDS, MI 49546
Nurse Practitioner
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546

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 Anusha Kumbam's NPI number?

The NPI number for Anusha Kumbam is 1083020036. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Where is Anusha Kumbam located?

Anusha Kumbam practices at 4300 Cascade Rd SE, Grand Rapids, MI 49546. The listed phone number is (616) 252-1500.

What is Anusha Kumbam's specialty?

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

Is Anusha Kumbam enrolled in Medicare?

Yes. Anusha Kumbam 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 Anusha Kumbam accept?

Health plans from Molina Healthcare list Anusha Kumbam 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 Anusha Kumbam affiliated with any hospitals?

According to CMS data, Anusha Kumbam is affiliated with Cleveland Clinic and Hillcrest Hospital.

When was this NPI record last updated?

The NPPES record for Anusha Kumbam was last updated on August 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.