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RAKESH KUMAR M.D.
NPI 1215256086
Pediatrics - Pediatric Gastroenterology in Evansville, IN

Active since May 19, 2010PECOS Enrolled
3900 WASHINGTON AVE STE 100, EVANSVILLE, IN 47714(812) 485-6694 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 24, 2018, Apr 18, 2018 (2 updates tracked since 2018).

About Rakesh Kumar M.d. NPPES

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

RAKESH KUMAR M.D. (NPI 1215256086) is an individual pediatric gastroenterology provider in Evansville, Indiana, licensed in Indiana (01091959A) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215256086
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameRAKESH KUMARCredential: M.D.
Location Address3900 WASHINGTON AVE STE 100Evansville, IN 47714-0550
Mailing Address3900 Washington Ave Ste 100Evansville, IN 47714-0550
Phone(812) 485-6694
Sole ProprietorNo
Enumeration DateMay 19, 2010
Last NPPES UpdateFebruary 20, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
✔ NPI 1215256086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in IN · 01091959A✔ Licensed in OK · 31144✔ Licensed in OH · 35133457
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License 2012019815 (MO), 01091959A (IN)
3900 WASHINGTON AVE STE 100, Evansville, IN 47714
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12121 Hughes Dr Ste 220Toledo, OH 43606-3845 · Phone (419) 291-7010 · Fax (419) 479-6917
Location 21314 E Walnut StWashington, IN 47501-2860 · Phone (812) 254-2760

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rakesh Kumar M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Rakesh Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Vincent Pediatric Subspecialties
Same address
Pediatric Critical Care Medicine
3700 WASHINGTON AVE
Evansville, IN 47714
  • Reassigned Medicare billing, Indiana enrollment
  • 294 clinicians in this Medicare group
NPI 1851950224 (812) 485-4000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47714 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 8

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

HELEN SCHNARR RD
Dietitian, Registered
3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-6694
MRS. ANA MARIA GEBHARDT OTR/L
Occupational Therapist
3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-6694
DR. DONALD E. GEORGE MD
Pediatrics (Pediatric Gastroenterology)
3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-6694
BENJAMIN W SMITH JR. LCSW
Social Worker (Clinical)
3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-6694
REBECCA G CAREY MD
Pediatrics (Pediatric Gastroenterology)
3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-6694
MRS. MEGEN ELIZABETH BROWN FNP-BC
Nurse Practitioner (Family)
3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-6694
TRI-STATE PEDIATRIC ASSOCIATES LLC
Pediatrics
3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-7784
RAYMOND C TERVO MD
Pediatrics (Neurodevelopmental Disabilities)
3900 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
Vanderburgh County (812) 485-6694

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 Rakesh Kumar's NPI number?

The NPI number for Rakesh Kumar is 1215256086. It was assigned to this individual provider in the NPPES registry on May 19, 2010.

Where is Rakesh Kumar located?

Rakesh Kumar practices at 3900 Washington Ave Ste 100, Evansville, IN 47714. The listed phone number is (812) 485-6694.

What is Rakesh Kumar's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Rakesh Kumar enrolled in Medicare?

Yes. Rakesh Kumar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rakesh Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rakesh Kumar reassigns Medicare benefits to St Vincent Pediatric Subspecialties (Evansville, IN). The 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 Rakesh Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rakesh Kumar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Rakesh 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 Rakesh Kumar was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.