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MRS. CHITRA KUMAR MD
NPI 1083663496
Internal Medicine - Hematology & Oncology in West New York, NJ

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
83.48/100
CMS Quality Rating
5311 BOULEVARD EAST, WEST NEW YORK, NJ 07093(201) 864-7172(201) 864-5599 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Chitra Kumar Md NPPES

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

MRS. CHITRA KUMAR MD (NPI 1083663496) is an individual hematology & oncology provider in West New York, New Jersey, licensed in New Jersey (MA040566) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1083663496
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameMRS. CHITRA KUMARCredential: MD
Location Address5311 BOULEVARD EASTWest New York, NJ 07093-3539
Mailing Address5311 Boulevard EastWest New York, NJ 07093-3539 · (201) 864-7172 · Fax (201) 864-5599
Phone(201) 864-7172
Fax(201) 864-5599
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateMay 10, 2006
Last NPPES UpdateOctober 11, 2012
✔ NPI 1083663496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NJ · MA040566
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
5311 BOULEVARD EAST, West New York, NJ 07093
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Other Identifiers 2

Medicare UPINC56830
Medicare ID-Type UnspecifiedKU521019

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Mrs. Chitra 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 ID143255315
PECOS Enrollment IDI20050927001250
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 9

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
630 services15 patients
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less 96367
This procedure involves injecting fluids or medication directly into your vein. It's used for treatment, prevention, or diagnosis. An additional sequential infusion may be given within an hour if needed. This helps to ensure the medicine is distributed effectively in your body.
160 services14 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
158 services35 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
149 services34 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.
122 services33 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
76 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07093 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

83.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.91
Promoting Interoperability100
Improvement Activities40
Cost54.97

Reported Quality Measures

Advance Care Plan
99%116 patients4/55-star benchmark: 100%
Breast Cancer Screening
88%69 patients4/55-star benchmark: 93%
Colorectal Cancer Screening
84%174 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
70%33 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
93%56 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
89%1,141 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
100%42 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
98%305 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 236 patients
99%236 patients
Provide Patients Electronic Access to Their Health Information
85%155 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Chitra Kumar's NPI number?

The NPI number for Chitra Kumar is 1083663496. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Chitra Kumar located?

Chitra Kumar practices at 5311 Boulevard East, West New York, NJ 07093. The listed phone number is (201) 864-7172.

What is Chitra Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Chitra Kumar enrolled in Medicare?

Yes. Chitra 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 Chitra Kumar accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Chitra 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.

When was this NPI record last updated?

The NPPES record for Chitra Kumar was last updated on October 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.