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

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

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: July 19, 2026.

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

On this page

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

Phone(262) 884-4000

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

Open in Google Maps ↗

Other Identifiers 1

Medicaid32632100WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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 (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.