DR. ABHAY KUMAR MD
NPI 1093942708
Psychiatry & Neurology - Neurocritical Care in Houston, TX

Q: 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.

Q: What is Abhay Kumar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurocritical Care, with taxonomy code 2084A2900X.

Q: When was this NPI record last updated?

The NPPES record for Abhay Kumar was last updated on March 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 20, 2009PECOS EnrolledAccepts Medicare Assignment

6400 FANNIN ST STE 2800, HOUSTON, TX 77030(713) 486-7746(713) 486-8088 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2026, Mar 20, 2021, Dec 15, 2020 and 4 more (7 updates tracked since 2018).

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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

NPI1093942708

Entity TypeIndividualMale

Primary Taxonomy2084A2900X

Provider Legal NameDR. ABHAY KUMARCredential: MD

Location Address6400 FANNIN ST STE 2800Houston, TX 77030

Mailing Address6400 Fannin St Ste 2070Houston, TX 77030-1541 · (713) 486-8000 · Fax (713) 486-8088

Phone(713) 486-7746

Fax(713) 486-8088

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 20, 2009

Last NPPES UpdateMarch 18, 20267 updates tracked since enumeration

NPPES CertifiedMarch 18, 2026

✔ NPI 1093942708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurocritical CareAllopathic & Osteopathic Physicians

Taxonomy Code2084A2900X

License✔ Licensed in TX · R8399

Definition

The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 01083155A (IN), 85242 (GA), 25MA10748100 (NJ), 53629 (KY), 2010003410 (MO), 0101269138 (VA), ME143887 (FL), 60150 (AZ), 036.147196 (IL), MD483135 (PA), 2020-00359 (NC)

6400 FANNIN ST STE 2800, Houston, TX 77030

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Secondary Practice Locations 2

Location 1228 Saint Charles Way Ste 200York, PA 17402-4661 · Phone (717) 851-5503

Location 21701 S Creasy LnLafayette, IN 47905-4972 · Phone (765) 502-4400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. 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.

PECOS PAC ID9335263565

PECOS Enrollment IDI20180820002720, I20201201001157, I20220311000052, I20220315001673, I20230922002822

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 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.

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.

213 services90 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.

207 services121 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.

79 services52 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.

46 services46 patients

Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426

A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.

38 services38 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

27 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Citizens Medical Center

Acute Care Hospitals · Victoria, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450023

Location2701 Hospital DriveVictoria, TX 77901 · Victoria County

Emergency services Birthing friendly

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450610

Location921 GessnerHouston, TX 77024 · Harris County

Emergency services Birthing friendly

Referred 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.

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

2 suppliers17 claims17 services$19.76 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers17 claims17 services$6.21 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

SHIRISH S SATPUTE MD

Psychiatry & Neurology (Neurology)