PREETHI KUMAR D.O.
NPI 1205222437
Family Medicine in Cedar Knolls, NJ

Active since April 14, 2015PECOS EnrolledAccepts Medicare Assignment
11 SADDLE RD, CEDAR KNOLLS, NJ 07927(973) 267-2122 Get Directions Write a Review

NPPES record last updated: December 8, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Preethi Kumar D.o. NPPES

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

PREETHI KUMAR D.O. (NPI 1205222437) is an individual family medicine provider in Cedar Knolls, New Jersey, licensed in New Jersey (25MB10170400) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2014).

NPPES Registry Identity

NPI1205222437
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePREETHI KUMARCredential: D.O.
Location Address11 SADDLE RDCedar Knolls, NJ 07927-1901
Mailing AddressPo Box 416457Boston, MA 02241-6457
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2014
Enumeration DateApril 14, 2015
Last NPPES UpdateDecember 8, 2017
NPI 1205222437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NJ · 25MB10170400
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11 SADDLE RD, Cedar Knolls, NJ 07927

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

Preethi Kumar D.o. 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 ID7517226566
PECOS Enrollment IDI20220901001441
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 CMS Part B claims 7

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.
229 services59 patients
Osteopathic manipulative treatment, 5-6 body regions 98927
Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose, treat, and prevent illness or injury. In a 5-6 body regions OMT, the doctor applies techniques on those areas to enhance your body's natural healing process.
99 services40 patients
Osteopathic manipulative treatment, 3-4 body regions 98926
Osteopathic Manipulative Treatment (OMT) is a hands-on method where a doctor uses specific techniques to diagnose, treat, and prevent illness or injury. For 3-4 body regions, the doctor focuses on areas like your head, neck, back, or limbs to improve function and promote healing.
69 services38 patients
Osteopathic manipulative treatment, 7-8 body regions 98928
Osteopathic Manipulative Treatment (OMT) is a hands-on method where physicians use precise movements to diagnose, treat, and prevent illness or injury. In a 7-8 body regions OMT, the doctor focuses on multiple areas, such as the head, neck, back, or limbs, to enhance your body's natural healing process.
56 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services33 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.
30 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07927 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
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 20

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

Family Medicine
11 SADDLE RD
CEDAR KNOLLS, NJ 07927
Family Medicine
11 SADDLE RD
CEDAR KNOLLS, NJ 07927
Pediatrics
11 SADDLE RD
CEDAR KNOLLS, NJ 07927
Internal Medicine (Gastroenterology)
11 SADDLE RD
CEDAR KNOLLS, NJ 07927
Family Medicine
11 SADDLE RD
CEDAR KNOLLS, NJ 07927
Family Medicine
11 SADDLE RD
CEDAR KNOLLS, NJ 07927
Internal Medicine (Cardiovascular Disease)
11 SADDLE RD
CEDAR KNOLLS, NJ 07927
Internal Medicine (Cardiovascular Disease)
11 SADDLE RD
CEDAR KNOLLS, NJ 07927

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 Preethi Kumar's NPI number?

The NPI number for Preethi Kumar is 1205222437. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Where is Preethi Kumar located?

Preethi Kumar practices at 11 Saddle Rd, Cedar Knolls, NJ 07927. The listed phone number is (973) 267-2122.

What is Preethi Kumar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Preethi Kumar enrolled in Medicare?

Yes. Preethi 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.

Is Preethi Kumar affiliated with any hospitals?

According to CMS data, Preethi Kumar is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Preethi Kumar was last updated on December 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.