DR. MUKESH KUMAR MD
NPI 1104347665
Internal Medicine in Derby, CT
About Dr. Mukesh Kumar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MUKESH KUMAR MD (NPI 1104347665) is an individual internal medicine provider in Derby, Connecticut, licensed in Connecticut (65432) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Phelps Hospital, and maintains a secondary practice location in Ansonia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Mukesh 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
7Medicare enrollment records show Mukesh Kumar reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Derby, CT 06418
- Reassigned Medicare billing, Connecticut enrollment
- 190 clinicians in this Medicare group
New Haven, CT 06519
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Northeast Medical Group Inc
- 1,824 clinicians in this Medicare group
Wallingford, CT 06492
- Reassigned Medicare billing, Connecticut enrollment
- 84 clinicians in this Medicare group
New Britain, CT 06053
- Reassigned Medicare billing, Connecticut enrollment
- 70 clinicians in this Medicare group
Hartford, CT 06105
- Reassigned Medicare billing, Connecticut enrollment
- 1,186 clinicians in this Medicare group
Yonkers, NY 10701
- Reassigned Medicare billing, New York enrollment
- 211 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 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 7
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Phelps Hospital
Acute Care Hospitals · Sleepy Hollow, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DERBY, CT 06418
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 Mukesh Kumar's NPI number?
The NPI number for Mukesh Kumar is 1104347665. It was assigned to this individual provider in the NPPES registry on July 5, 2017.
Where is Mukesh Kumar located?
Mukesh Kumar practices at 130 Division St, Derby, CT 06418. The listed phone number is (203) 732-1330.
What is Mukesh Kumar's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mukesh Kumar enrolled in Medicare?
Yes. Mukesh 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 Mukesh Kumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mukesh Kumar reassigns Medicare benefits to 7 organizations: Griffin Faculty Physicians, Inc. (Derby, CT), Mill Hill Medical Consultants Inc (New Haven, CT), Gaylord Hospital, Inc. (Wallingford, CT), Hospital For Special Care (New Britain, CT), Trinity Health Of New England Provider Network Organization Inc (Hartford, CT) and 2 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 Mukesh Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mukesh Kumar accept?
Health plans from Anthem Blue Cross and Blue Shield list Mukesh 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 Mukesh Kumar affiliated with any hospitals?
According to CMS data, Mukesh Kumar is affiliated with Phelps Hospital.
When was this NPI record last updated?
The NPPES record for Mukesh Kumar was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Mukesh Kumar, MD · NPI 1104347665
Internal Medicine physician in Derby, Connecticut. Individual provider, active in the CMS NPPES registry since July 5, 2017.
## Identity
- **NPI:** 1104347665 (Entity type: Individual)
- **Enumerated:** July 5, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 65432 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 DIVISION ST, Derby, CT 06418-1326
- **Phone:** (203) 732-1330 · **Fax:** (203) 732-1332
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Griffin Faculty Physicians, Inc. (NPI 1598755605, Derby, CT); Mill Hill Medical Consultants Inc (NPI 1891019675, New Haven, CT); Gaylord Hospital, Inc. (NPI 1730137753, Wallingford, CT); Hospital For Special Care (NPI 1477534089, New Britain, CT); Trinity Health Of New England Provider Network Organization Inc (NPI 1003882812, Hartford, CT); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104347665) · Data from the CMS NPPES public registry.