DR. SURESH NARAYAN KUMAR MD
NPI 1104016617
Internal Medicine - Nephrology in Knoxville, TN

Q: What is Suresh Kumar's NPI number?

The NPI number for Suresh Kumar is 1104016617. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Q: What is Suresh Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Suresh Kumar was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 31, 2007PECOS EnrolledAccepts Medicare Assignment

69.55/100

CMS Quality Rating

939 E EMERALD AVE STE 610, KNOXVILLE, TN 37917(865) 637-8635(865) 637-9882 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Suresh Narayan Kumar Md NPPES

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

DR. SURESH NARAYAN KUMAR MD (NPI 1104016617) is an individual nephrology provider in Knoxville, Tennessee, licensed in Tennessee (48630) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Lafollette Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1104016617

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. SURESH NARAYAN KUMARCredential: MD

Location Address939 E EMERALD AVE STE 610Knoxville, TN 37917-4569

Mailing Address939 E Emerald Ave Ste 610Knoxville, TN 37917-4569 · (865) 637-8635 · Fax (865) 637-9882

Phone(865) 637-8635

Fax(865) 637-9882

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 31, 2007

Last NPPES UpdateJune 14, 2012

✔ NPI 1104016617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TN · 48630

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MD.203941 (LA)

939 E EMERALD AVE STE 610, Knoxville, TN 37917

Open in Google Maps ↗

Other Identifiers 1

Other48630TN · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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. Suresh Narayan 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 ID4981868775

PECOS Enrollment IDI20120606000677

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 12

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.

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.

381 services233 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.

341 services152 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.

220 services103 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

188 services68 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.

127 services111 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

111 services21 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

58 services50 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.

48 services46 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

35 services28 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.

25 services25 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

18 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Lafollette Medical Center

Acute Care Hospitals · La Follette, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440033

Location923 East Central AvenueLa Follette, TN 37766 · Campbell County

Emergency services

Tennova Healthcare-Jefferson Memorial Hospital

Acute Care Hospitals · Jefferson City, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440056

Location110 Hospital DriveJefferson City, TN 37760 · Jefferson County

Emergency services

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440120

Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County

Emergency services Birthing friendly

Tennova Healthcare - Newport Medical Center

Acute Care Hospitals · Newport, TN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number440153

Location435 2nd StNewport, TN 37821 · Cocke County

Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440173

Location9352 Park West BlvdKnoxville, TN 37923 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37917 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

69.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

57.02

Promoting Interoperability

100

Improvement Activities

Cost

71.87

Reported Quality Measures

Controlling High Blood Pressure

74%490 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

71%178 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

96%1,349 patients4/55-star benchmark: 100%

e-Prescribing

99%1,255 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%557 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

16%735 patients1/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 43% · 420 patients

Patients screened: 49% · 420 patients

10%29 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%749 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 572 patients

Patients totalRate: 0% · 572 patients

0%572 patients5/55-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.

Other Providers at the Same Location NPPES

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

DR. MARCIA VICTORIA WILLIAMS-LYONS D.O.

Specialist

939 E EMERALD AVE STE 610
KNOXVILLE, TN 37917

Knox County (865) 637-8635

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 Suresh Kumar's NPI number?

The NPI number for Suresh Kumar is 1104016617. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Where is Suresh Kumar located?

Suresh Kumar practices at 939 E Emerald Ave Ste 610, Knoxville, TN 37917. The listed phone number is (865) 637-8635.

What is Suresh Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Suresh Kumar enrolled in Medicare?

Yes. Suresh 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 Suresh Kumar accept?

Health plans from BlueCross BlueShield of Tennessee list Suresh 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 Suresh Kumar affiliated with any hospitals?

According to CMS data, Suresh Kumar is affiliated with Lafollette Medical Center, Tennova Healthcare-Jefferson Memorial Hospital, Physicians Regional Medical Center, Tennova Healthcare - Newport Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Suresh Kumar was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.