DR. DHARAM JAYDEEP KUMBHANI M.D. NPI 1184788416

Internal Medicine (Cardiovascular Disease) in Dallas, TX

NPI 1184788416 Individual Male Years of Experience 21 Internal Medicine Cardiovascular Disease PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for DR. DHARAM JAYDEEP KUMBHANI M.D.

Dharam Kumbhani is an internal medicine provider established in Dallas, Texas and his medical specialization is internal medicine (cardiovascular disease) with more than 21 years of experience. The NPI number of Dharam Kumbhani is 1184788416 and was assigned on December 2006. The practitioner's primary taxonomy code is 207RC0000X with license number P3910 (TX). The provider is registered as an individual and his NPI record was last updated 10 years ago.

An internist like Dr. Dharam Jaydeep Kumbhani M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Dharam Kumbhani is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Dharam Kumbhani is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Ut Southwestern University Hospital - William P. Clements Jr..

The typical physician office visit costs for Medicare beneficiaries in this area are: $34.04 for a new patient copayment and $18.61 for an established patient copayment.

NPI

1184788416

Provider NameDR. DHARAM JAYDEEP KUMBHANI M.D.
Provider Location Address5323 HARRY HINES BOULEVARD DALLAS, TX 75390
Provider Mailing AddressP.O. BOX 845347 DALLAS, TX 75284
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date12-21-2006
Last Update Date08-29-2012


Primary Taxonomy

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
License No.P3910
License StateTX
Taxonomy DescriptionAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Business Address

DR. DHARAM JAYDEEP KUMBHANI M.D.
5323 HARRY HINES BOULEVARD
DALLAS, TX
ZIP 75390
Phone: (214) 645-8000
Fax: (214) 645-7269

Get Directions


Mailing Address

DR. DHARAM JAYDEEP KUMBHANI M.D.
P.O. BOX 845347
DALLAS, TX
ZIP 75284
Phone: (214) 645-8000
Fax: (214) 645-7269



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID840470332
PECOS Enrollment IDI20120827000792
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 75390 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$59.43 $179.71 $136.17
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.85 $44.92 $34.04
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.75 $147.31 $74.44
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.68 $36.82 $18.61

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 204Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • 22Catheter insertion of stents in major coronary artery or branch, accessed through the skin (HCPCS:92928)
  • 18Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Dharam Kumbhani is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR.6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 633-5555Acute Care Hospitals450044

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineMT184888PANo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineP3910TXNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease243548MANo

Taxonomy Description: an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

4207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease57.012986OHNo

Taxonomy Description: an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

5207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyP3910TXNo

Taxonomy Description: an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184788416
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211641481642
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 4 + 8 + 1 + 6 + 4 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1184788416 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023078607 SUSAN THERESA IANNACCONE MD
Individual
Psychiatry & Neurology (Neurology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-2768
1174584593 CLAUS G ROEHRBORN MD
Individual
Urology5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-0624
1245338623MR. KEMP H KERNSTINE MD, PH.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-7700
1285825505 SHANNON ELIZABETH BLALOCK MD
Individual
Pediatrics (Pediatric Cardiology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-2333
1013063627 SASAN MIRFAKHRAEE MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-2800
1548307481DR. ISABEL CRISTINA ROJAS SANTAMARIA M.D.
Individual
Pediatrics (Pediatric Gastroenterology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-8000
1154539534 TARA MICHELLE DUVAL MD
Individual
Internal Medicine (Geriatric Medicine)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-8600
1689834277DR. ABBIE MARTHA EWELL MD
Individual
Psychiatry & Neurology (Psychiatry)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 590-8761
1235387531 MANISH R MOHANKA MD, MPH
Individual
Internal Medicine (Pulmonary Disease)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-2800
1104053628 ANITA ANJALI HEGDE M.D.
Individual
Internal Medicine5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 648-9741
1689965659DR. MICHELLE RIMA KANDALAFT PH.D.
Individual
Psychologist5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 648-5160
1013977487DR. ARTHUR EDWARD FRANKEL MD
Individual
Internal Medicine (Hematology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-4673
1932250115DR. BRIDGET DANIELLE STUART MD
Individual
Pediatrics (Pediatric Pulmonology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 648-3903
1225229164DR. ZARMINA AMAN MD
Individual
Obstetrics & Gynecology5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-3838
1609053875DR. DEVIKA RADHIKA RAO MD
Individual
Pediatrics (Pediatric Pulmonology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-2857
1992956825 SHAI MANZURI MD
Individual
Pediatrics (Pediatric Critical Care Medicine)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-5095
1841385580DR. CATHERINE B. ORSAK M.D.
Individual
Psychiatry & Neurology (Psychiatry)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 648-3043
1750554689DR. DIANA PATRICIA CASTRO MD
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 456-2768
1255356150DR. JASON PAUL CLARK MD
Individual
Internal Medicine (Critical Care Medicine)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-2800
1629288550 AURELIA MARIE SCHMALSTIEG M.D.
Individual
Internal Medicine (Infectious Disease)5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
(214) 645-2800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Dharam Jaydeep Kumbhani M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.