DR. RAMON KUMAR M.D.
NPI 1093030934
Internal Medicine - Interventional Cardiology in Tyler, TX

Q: What is Ramon Kumar's NPI number?

The NPI number for Ramon Kumar is 1093030934. It was assigned to this individual provider in the NPPES registry on April 4, 2010.

Q: What is Ramon Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Ramon Kumar was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 04, 2010PECOS EnrolledAccepts Medicare Assignment

703 S FLEISHEL AVE, STE 4000, TYLER, TX 75701(903) 606-7000 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 30, 2026, May 22, 2023, Feb 17, 2016 (3 updates tracked since 2016).

On this page

About Dr. Ramon Kumar M.d. NPPES

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

DR. RAMON KUMAR M.D. (NPI 1093030934) is an individual interventional cardiology provider in Tyler, Texas, licensed in Texas (M8100) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Alliancehealth Durant, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093030934

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. RAMON KUMARCredential: M.D.

Location Address703 S FLEISHEL AVE, STE 4000Tyler, TX 75701-2015

Mailing AddressPo Box 689022Franklin, TN 37068-9022

Phone(903) 606-7000

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2004

Enumeration DateApril 4, 2010

Last NPPES UpdateJanuary 30, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2026

✔ NPI 1093030934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in TX · M8100✔ Licensed in OK · 46963

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License M8100 (TX)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35-097693 (OH)

703 S FLEISHEL AVE, Tyler, TX 75701

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11400 Bryan Dr Ste 206Durant, OK 74701-2157 · Phone (580) 931-2035

Location 21783 Troup HwyTyler, TX 75701-5869 · Phone (903) 595-2283

Other Identifiers 3

Other75-2616977-028TX · Tricare

Other8BC409TX · Bcbs

Other752616977007TX · Tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Mending Health.Insurance ›

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

Dr. Ramon 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 ID8325217219

PECOS Enrollment IDI20120723000814, I20260218002215

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

Medicare enrollment records show Ramon Kumar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christus Trinity Clinic Texas

0.3 mi

Family Medicine

520 DOUGLAS BLVD
Tyler, TX 75702

Reassigned Medicare billing, Texas enrollment
2,745 clinicians in this Medicare group

NPI 1285684225 (903) 315-4119

Heartplace, PLLC

98 mi

Cardiac Rehabilitation

3801 W 15TH ST STE 320
Plano, TX 75075

Reassigned Medicare billing, Texas enrollment
35 clinicians in this Medicare group

NPI 1922832286 (972) 985-8838

Cardiac Cath Lab Of Collin County, LP

100 mi

Multi-Specialty

5085 W PARK BLVD, SUITE 180A
Plano, TX 75093

Reassigned Medicare billing, Texas enrollment
25 clinicians in this Medicare group

NPI 1336596097 (469) 609-8280

Durant Hma Physician Management, LLC

131 mi

Internal Medicine

1400 BRYAN DR, SUITE 301
Durant, OK 74701

Reassigned Medicare billing, Oklahoma enrollment
35 clinicians in this Medicare group

NPI 1043361116 (580) 920-0105

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 17

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

367 services289 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.

97 services52 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

76 services19 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

75 services74 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

37 services37 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.

37 services24 patients

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.

36 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

30 services30 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

30 services16 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

30 services17 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.

25 services24 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

23 services22 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

21 services21 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

19 services19 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

19 services19 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

18 services18 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Alliancehealth Durant

Acute Care Hospitals · Durant, OK

1/5 CMS rating

OwnershipProprietary

CMS Certification Number370014

Location1800 University BoulevardDurant, OK 74702 · Bryan County

Emergency services Birthing friendly

Alliancehealth Madill

Critical Access Hospitals · Madill, OK

OwnershipVoluntary non-profit - Other

CMS Certification Number371326

Location901 S 5th AveMadill, OK 73446 · Marshall County

Emergency services

Texoma Medical Center

Acute Care Hospitals · Denison, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450324

Location5016 S Us Highway 75Denison, TX 75020 · Grayson County

Emergency services Birthing friendly

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450771

Location6200 W Parker RdPlano, TX 75093 · Collin County

Emergency services Birthing friendly

Texas Health Presbyterian Hospital Allen

Acute Care Hospitals · Allen, TX

4/5 CMS rating

OwnershipGovernment - Federal

CMS Certification Number450840

Location1105 Central Expressway NorthAllen, TX 75013 · Collin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

MARIAH DAWN MEENACH APRN

Nurse Practitioner (Gerontology)

703 S FLEISHEL AVE
TYLER, TX 75701

Smith County (903) 606-3000

TOBY C SILVERTOOTH FNP-C

Nurse Practitioner

703 S FLEISHEL AVE, STE. 4000
TYLER, TX 75701

Smith County (903) 606-7000

MS. BETHANY NICHOLE COWAN FNP-C

Nurse Practitioner (Family)

703 S FLEISHEL AVE
TYLER, TX 75701

Smith County (903) 606-3000

CHRISTUS TRINITY CLINIC - CARDIOLOGY

Clinic/Center

703 S FLEISHEL AVE, SUITE 4000
TYLER, TX 75701

Smith County (903) 606-7000

DARREN JAY TAPLEY PA

Physician Assistant

703 S FLEISHEL AVE, STE 5000
TYLER, TX 75701

Smith County (903) 525-2992

THOMAS R SCHOLLER PA-C

Physician Assistant

703 S FLEISHEL AVE
TYLER, TX 75701

Smith County (903) 606-7000

CLYDE FAGG SANFORD III MD

Internal Medicine (Cardiovascular Disease)

703 S FLEISHEL AVE, STE 4000
TYLER, TX 75701

Smith County (903) 606-7000

JAMES A. CACCITOLO MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

703 S FLEISHEL AVE, STE 5000
TYLER, TX 75701

Smith County (903) 606-7525

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 Ramon Kumar's NPI number?

The NPI number for Ramon Kumar is 1093030934. It was assigned to this individual provider in the NPPES registry on April 4, 2010.

Where is Ramon Kumar located?

Ramon Kumar practices at 703 S Fleishel Ave Ste 4000, Tyler, TX 75701. The listed phone number is (903) 606-7000.

What is Ramon Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Ramon Kumar enrolled in Medicare?

Yes. Ramon 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 Ramon Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ramon Kumar reassigns Medicare benefits to 4 organizations: Christus Trinity Clinic Texas (Tyler, TX), Heartplace, PLLC (Plano, TX), Cardiac Cath Lab Of Collin County, LP (Plano, TX) and Durant Hma Physician Management, LLC (Durant, OK). 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 Ramon Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ramon Kumar accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Mending Health list Ramon 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 Ramon Kumar affiliated with any hospitals?

According to CMS data, Ramon Kumar is affiliated with Alliancehealth Durant, Alliancehealth Madill, Texoma Medical Center, Texas Health Presbyterian Hospital Plano and Texas Health Presbyterian Hospital Allen.

When was this NPI record last updated?

The NPPES record for Ramon Kumar was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.