PRADEEP GOPI KUMAR MD
NPI 1164463261
Pediatrics - Adolescent Medicine in Mount Pleasant, WI

Active since June 09, 2006PECOS Enrolled
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406(262) 884-4000 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2023, Jan 6, 2022 (2 updates tracked since 2022).

About Pradeep Gopi Kumar Md NPPES

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

PRADEEP GOPI KUMAR MD (NPI 1164463261) is an individual adolescent medicine provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (41877) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164463261
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NamePRADEEP GOPI KUMARCredential: MD
Location Address8400 WASHINGTON AVEMount Pleasant, WI 53406-3735
Mailing AddressPo Box 735044Chicago, IL 60673-5044
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateNovember 6, 20232 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
NPI 1164463261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in WI · 41877
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
8400 WASHINGTON AVE, Mount Pleasant, WI 53406

Other Identifiers 1

Medicaid32632100WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Pradeep Gopi Kumar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Otolaryngology
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Pediatrics
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Pediatrics
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Family Medicine
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Pain Medicine (Interventional Pain Medicine)
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Family Medicine
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Medical Genetics (Clinical Genetics (M.D.))
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Nurse Practitioner
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406

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 Pradeep Kumar's NPI number?

The NPI number for Pradeep Kumar is 1164463261. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Pradeep Kumar located?

Pradeep Kumar practices at 8400 Washington Ave, Mount Pleasant, WI 53406. The listed phone number is (262) 884-4000.

What is Pradeep Kumar's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Pradeep Kumar enrolled in Medicare?

Yes. Pradeep Kumar is registered in the Medicare PECOS enrollment system.

What insurance does Pradeep Kumar accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Pradeep 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.

When was this NPI record last updated?

The NPPES record for Pradeep Kumar was last updated on November 6, 2023. 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.