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DR. ROHIT KUMAR M.D.
NPI 1154737724
Internal Medicine - Hematology & Oncology in Louisville, KY

Active since July 03, 2014PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
529 S JACKSON ST, LOUISVILLE, KY 40202(502) 852-2522 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2021, Aug 2, 2018, Jul 11, 2018 and 2 more (5 updates tracked since 2018).

About Dr. Rohit Kumar M.d. NPPES

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

DR. ROHIT KUMAR M.D. (NPI 1154737724) is an individual hematology & oncology provider in Louisville, Kentucky, licensed in Kentucky (51209) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154737724
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ROHIT KUMARCredential: M.D.
Location Address529 S JACKSON STLouisville, KY 40202-3229
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 562-4370
Phone(502) 852-2522
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 3, 2014
Last NPPES UpdateApril 12, 20215 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
✔ NPI 1154737724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in KY · 51209
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125065724 (IL)
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License NA (AR)
529 S JACKSON ST, Louisville, KY 40202
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11901 W Harrison StChicago, IL 60612-3714 · Phone (312) 864-6000
Location 24301 W Markham St # 508Little Rock, AR 72205-7101 · Phone (501) 686-8511 · Fax (501) 686-6342

Other Identifiers 1

Medicaid7100533310KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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. Rohit 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 ID3375849441
PECOS Enrollment IDI20210325001423
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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
458 services133 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.
172 services103 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.
105 services44 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
61 services61 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.
53 services52 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.
25 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

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.

MOHAMED HEGAZI MD
Internal Medicine (Hematology & Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-4270
UNIVERSITY OF LOUISVILLE
Special Hospital
529 S JACKSON ST, # 127
LOUISVILLE, KY 40202
Jefferson County (502) 852-5747
ASHLEY VICTORIA ADKINS PHARMD
Pharmacist (Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-4673
JASMINE COLLINS PHARMD
Pharmacist (Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-4370
LAURA ELIZABETH JONES LCSW
Social Worker (Clinical)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 561-7313
DANIEL STEWART METZINGER M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
529 S JACKSON ST, BROWN CANCER CENTER
LOUISVILLE, KY 40202
Jefferson County (502) 561-7220
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION
Radiology (Radiation Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 561-2700
MEGAN ELIZABETH BURD PHARMD
Pharmacist (Oncology)
529 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 561-7423

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 Rohit Kumar's NPI number?

The NPI number for Rohit Kumar is 1154737724. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Where is Rohit Kumar located?

Rohit Kumar practices at 529 S Jackson St, Louisville, KY 40202. The listed phone number is (502) 852-2522.

What is Rohit Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Rohit Kumar enrolled in Medicare?

Yes. Rohit 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 Rohit Kumar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Rohit 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 Rohit Kumar affiliated with any hospitals?

According to CMS data, Rohit Kumar is affiliated with Baptist Health Hardin, Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Rohit Kumar was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.