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: July 19, 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
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

Other Identifiers 1

Medicaid31867900WI

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 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.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 360 times for 91 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 47 times for 20 patients

Psychiatric diagnostic evaluation with medical services

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

This service was performed 12 times for 12 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $40.81 for a new patient copayment and $16.84 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 53090 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $163.24
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $40.81
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.37
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $16.84
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

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

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Social Worker
400 W RIVER DRIVE
WEST BEND, WI 53090
Social Worker
400 W RIVER DRIVE
WEST BEND, WI 53090
Social Worker
400 W RIVER DRIVE
WEST BEND, WI 53090
Social Worker
400 W RIVER DRIVE
WEST BEND, WI 53090
Social Worker
400 W RIVER DRIVE
WEST BEND, WI 53090
Social Worker
400 W RIVER DRIVE
WEST BEND, WI 53090
Social Worker
400 W RIVER DRIVE
WEST BEND, WI 53090
Social Worker (Clinical)
400 W RIVER DRIVE
WEST BEND, WI 53090
Social Worker
400 W RIVER DRIVE
WEST BEND, WI 53090
Psychologist (Addiction (Substance Use Disorder))
400 W RIVER DRIVE
WEST BEND, WI 53090
Social Worker
400 W RIVER DRIVE
WEST BEND, WI 53090

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194800557, enumerated as an "individual" on October 26, 2006.

The provider is located at 400 W RIVER DRIVE WEST BEND, WI 53090 and the phone number is (262) 338-2717.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica, Network. Please consult your insurance carrier or call the provider to verify.