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DR. RAJESH KUMAR MD
NPI 1194800557
Psychiatry & Neurology - Psychiatry in West Bend, WI

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
400 W RIVER DRIVE, WEST BEND, WI 53090(262) 338-2717(262) 338-9767 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Rajesh Kumar Md NPPES

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

DR. RAJESH KUMAR MD (NPI 1194800557) is an individual psychiatry provider in West Bend, Wisconsin, licensed in Wisconsin (31575) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1194800557
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. RAJESH KUMARCredential: MD
Location Address400 W RIVER DRIVEWest Bend, WI 53090
Mailing Address111 E Washington StWest Bend, WI 53095-2571 · (262) 338-2717 · Fax (262) 338-9767
Phone(262) 338-2717
Fax(262) 338-9767
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 26, 2006
Last NPPES UpdateMay 18, 2020
NPPES CertifiedMay 18, 2020
✔ NPI 1194800557 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 WI · 31575
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.
400 W RIVER DRIVE, West Bend, WI 53090
Open in Google Maps ↗

Other Identifiers 1

Medicaid31867900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rajesh 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 ID2567356124
PECOS Enrollment IDI20101018001000
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rajesh Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Affiliated Clinical Services Inc
1.0 mi
Multi-Specialty
111 E WASHINGTON ST
West Bend, WI 53095
  • Reassigned Medicare billing, Wisconsin enrollment
  • 33 clinicians in this Medicare group
NPI 1851473698 (262) 338-2717
Waukesha County
29 mi
Psychiatric Hospital
1501 AIRPORT RD
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • 80 clinicians in this Medicare group
NPI 1407988892 (262) 548-7950

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
303 services79 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.
84 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53090 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES KEVIN GIESE PHD
Psychologist (Addiction (Substance Use Disorder))
400 W RIVER DRIVE
WEST BEND, WI 53090
Washington County (262) 338-2717
MS. WENDY ANN CHAPMAN MSW LCSW
Social Worker
400 W RIVER DRIVE
WEST BEND, WI 53090
Washington County (262) 338-2717
RONALD J GUMM MA LCSW
Social Worker
400 W RIVER DRIVE
WEST BEND, WI 53090
Washington County (262) 338-2717
MS. BONNIE LEE JACOBS MSW LCSW
Social Worker
400 W RIVER DRIVE
WEST BEND, WI 53090
Washington County (262) 338-2717
MR. DANIEL W LAURENT LCSW
Social Worker
400 W RIVER DRIVE
WEST BEND, WI 53090
Washington County (262) 338-2717
LARRY E HOPWOOD LCSW
Social Worker
400 W RIVER DRIVE
WEST BEND, WI 53090
Washington County (262) 338-2717
MRS. HOLLY ANNE SCHNEIDER APSW
Social Worker
400 W RIVER DRIVE
WEST BEND, WI 53090
Washington County (262) 338-2717
MS. KATHLEEN ANN KAZDA MSW
Social Worker (Clinical)
400 W RIVER DRIVE
WEST BEND, WI 53090
Washington County (262) 338-2717

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 Rajesh Kumar's NPI number?

The NPI number for Rajesh Kumar is 1194800557. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Rajesh Kumar located?

Rajesh Kumar practices at 400 W River Drive, West Bend, WI 53090. The listed phone number is (262) 338-2717.

What is Rajesh Kumar's specialty?

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

Is Rajesh Kumar enrolled in Medicare?

Yes. Rajesh 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.

Which organizations bill Medicare for Rajesh Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rajesh Kumar reassigns Medicare benefits to 2 organizations: Affiliated Clinical Services Inc (West Bend, WI) and Waukesha County (Waukesha, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rajesh Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rajesh Kumar accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Rajesh 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 Rajesh Kumar was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.