DR. ABHAY KUMAR MD
NPI 1093942708
Psychiatry & Neurology - Neurocritical Care in Houston, TX
About Dr. Abhay Kumar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ABHAY KUMAR MD (NPI 1093942708) is an individual neurocritical care provider in Houston, Texas, licensed in Texas (R8399) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Citizens Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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. Abhay 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.
Medicare Billing Reassignments
10Medicare enrollment records show Abhay Kumar reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 263 clinicians in this Medicare group
Shenandoah, TX 77380
- Reassigned Medicare billing, Texas enrollment
- 120 clinicians in this Medicare group
Birmingham, AL 35233
- Reassigned Medicare billing, Alabama enrollment
- 4,494 clinicians in this Medicare group
Hendersonville, NC 28792
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Novant Health Medical Group, LLC
- 2,998 clinicians in this Medicare group
Indianapolis, IN 46237
- Reassigned Medicare billing, Indiana enrollment
- 1,396 clinicians in this Medicare group
La Porte, IN 46350
- Reassigned Medicare billing, Indiana enrollment
- 734 clinicians in this Medicare group
Carolina Shores, NC 28467
- Reassigned Medicare billing, North Carolina enrollment
- 710 clinicians in this Medicare group
Mercersburg, PA 17236
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 clinicians in this Medicare group
Egg Harbor Township, NJ 08234
- Reassigned Medicare billing, New Jersey enrollment
- 921 clinicians in this Medicare group
Paramus, NJ 07652
- Reassigned Medicare billing, New Jersey and Texas enrollments
- 833 clinicians in this Medicare group
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 8
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Citizens Medical Center
Acute Care Hospitals · Victoria, TXMemorial Hermann - Texas Medical Center
Acute Care Hospitals · Houston, TXMemorial Hermann Hospital System
Acute Care Hospitals · Houston, TXHouston Methodist Baytown Hospital
Acute Care Hospitals · Baytown, TXMemorial Hermann Memorial City Hospital
Acute Care Hospitals · Houston, TXReferred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
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 Abhay Kumar's NPI number?
The NPI number for Abhay Kumar is 1093942708. It was assigned to this individual provider in the NPPES registry on June 20, 2009.
Where is Abhay Kumar located?
Abhay Kumar practices at 6400 Fannin St Ste 2800, Houston, TX 77030. The listed phone number is (713) 486-7746.
What is Abhay Kumar's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurocritical Care, with taxonomy code 2084A2900X.
Is Abhay Kumar enrolled in Medicare?
Yes. Abhay 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 Abhay Kumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abhay Kumar reassigns Medicare benefits to 10 organizations: Ut Physicians (Houston, TX), Mhs Physicians Of Texas (Shenandoah, TX), University Of Alabama Health Services Foundation, PC (Birmingham, AL), Novant Medical Group, Inc. (Hendersonville, NC), Franciscan Physician Network (Indianapolis, IN) and 5 more organizations, listed in the Medicare section above. 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 Abhay Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abhay Kumar accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Abhay 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 Abhay Kumar affiliated with any hospitals?
According to CMS data, Abhay Kumar is affiliated with Citizens Medical Center, Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Houston Methodist Baytown Hospital and Memorial Hermann Memorial City Hospital.
When was this NPI record last updated?
The NPPES record for Abhay Kumar was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Abhay Kumar, MD · NPI 1093942708
Neurocritical Care physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since June 20, 2009.
## Identity
- **NPI:** 1093942708 (Entity type: Individual)
- **Enumerated:** June 20, 2009
- **Primary specialty:** Psychiatry & Neurology - Neurocritical Care · taxonomy 2084A2900X
- **State license:** R8399 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6400 FANNIN ST STE 2800, Houston, TX 77030
- **Phone:** (713) 486-7746 · **Fax:** (713) 486-8088
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Ut Physicians (NPI 1265096317, Houston, TX); Mhs Physicians Of Texas (NPI 1184714867, Shenandoah, TX); University Of Alabama Health Services Foundation, PC (NPI 1164617205, Birmingham, AL); Novant Medical Group, Inc. (NPI 1124892765, Hendersonville, NC); Franciscan Physician Network (NPI 1225327984, Indianapolis, IN); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** March 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093942708) · Data from the CMS NPPES public registry.