PAWAN KUMAR MD
NPI 1154950426
Psychiatry & Neurology - Psychiatry in Binghamton, NY

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment
10-42 MITCHELL AVE, BINGHAMTON, NY 13903(607) 762-2990 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2024, Apr 7, 2020 (2 updates tracked since 2020).

About Pawan Kumar Md NPPES

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

PAWAN KUMAR MD (NPI 1154950426) is an individual psychiatry provider in Binghamton, New York, licensed in New York (326863) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with United Health Services Hospitals, Inc, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1154950426
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NamePAWAN KUMARCredential: MD
Location Address10-42 MITCHELL AVEBinghamton, NY 13903-1617
Mailing Address33 Lewis Rd, Fl 2Binghamton, NY 13905 · (607) 770-0025
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 7, 2020
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
NPI 1154950426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NY · 326863
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
10-42 MITCHELL AVE, Binghamton, NY 13903

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

Pawan 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 ID5597203919
PECOS Enrollment IDI20240816001578
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 2

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.

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.
141 services21 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13903 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Student in an Organized Health Care Education/Training Program
10-42 MITCHELL AVE
BINGHAMTON, NY 13903
Clinic/Center (Rehabilitation)
10-42 MITCHELL AVE
BINGHAMTON, NY 13903
Pediatrics
10-42 MITCHELL AVE, BINGHAMTON FAMILY CARE PEDS
BINGHAMTON, NY 13903
Pharmacist
10-42 MITCHELL AVE
BINGHAMTON, NY 13903
Student in an Organized Health Care Education/Training Program
10-42 MITCHELL AVE
BINGHAMTON, NY 13903
Nurse Practitioner (Family)
10-42 MITCHELL AVE
BINGHAMTON, NY 13903
General Acute Care Hospital
10-42 MITCHELL AVE
BINGHAMTON, NY 13903
Nurse Practitioner (Family)
10-42 MITCHELL AVE
BINGHAMTON, NY 13903

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 Pawan Kumar's NPI number?

The NPI number for Pawan Kumar is 1154950426. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Pawan Kumar located?

Pawan Kumar practices at 10-42 Mitchell Ave, Binghamton, NY 13903. The listed phone number is (607) 762-2990.

What is Pawan Kumar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Pawan Kumar enrolled in Medicare?

Yes. Pawan 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.

Is Pawan Kumar affiliated with any hospitals?

According to CMS data, Pawan Kumar is affiliated with United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Pawan Kumar was last updated on July 18, 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.