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DR. RAKESH KUMAR M.D.
NPI 1235288309
Internal Medicine in Natrona Heights, PA

Active since January 09, 2007PECOS EnrolledCLIA 39D0682605 · Waiver
1629 UNION AVE, SUITE 2, NATRONA HEIGHTS, PA 15065(724) 224-8850(206) 339-2691 Get Directions Write a Review

NPPES record last updated: October 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rakesh Kumar M.d. NPPES

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

DR. RAKESH KUMAR M.D. (NPI 1235288309) is an individual internal medicine provider in Natrona Heights, Pennsylvania, licensed in Pennsylvania (MD039893L) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is affiliated with Allegheny Valley Hospital.

NPPES Registry Identity

NPI1235288309
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAKESH KUMARCredential: M.D.
Location Address1629 UNION AVE, SUITE 2Natrona Heights, PA 15065-2134
Mailing Address1629 Union Ave, Suite 2Natrona Heights, PA 15065-2134 · (724) 224-8850 · Fax (206) 339-2691
Phone(724) 224-8850
Fax(206) 339-2691
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateJanuary 9, 2007
Last NPPES UpdateOctober 24, 2015
✔ NPI 1235288309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD039893L
Definition

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.

1629 UNION AVE, Natrona Heights, PA 15065
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Other Identifiers 5

Other334198PA · Highmark Number
Medicare PIN034251PA
Medicaid7557245PA
Medicare UPINC33065PA
Medicaid001023046 0003PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rakesh Kumar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082623798
PECOS Enrollment IDI20071204000050
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0682605

Rakesh Kumar MD · Natrona Heights, PA
Active · expires Aug 31, 2026
CLIA Number39D0682605
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRakesh Kumar MD
Laboratory Phone(724) 224-8850
Laboratory LocationRakesh Kumar MDMedical Arts Bldg 1629 Union Avenue Suite 2, Natrona Heights, PA 15065
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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 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.
176 services24 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
144 services18 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
134 services17 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
70 services17 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390032
Location1301 Carlisle StNatrona, PA 15065 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15065 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 9

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

DR. ROBERT HOWER MD
Specialist
1629 UNION AVE
NATRONA HEIGHTS, PA 15065
Allegheny County (724) 224-4600
POLISH CROWN DENTAL OF NATRONA HEIGHTS LLC
Clinic/Center (Dental)
1629 UNION AVE
NATRONA HEIGHTS, PA 15065
Allegheny County (724) 224-7100
DR. SARUN SUWAN MD
Specialist
1629 UNION AVE
NATRONA HEIGHTS, PA 15065
Allegheny County (724) 224-4600
MICHELLE L ZUBA DO
Surgery
1629 UNION AVE, SUITE 4
NATRONA HEIGHTS, PA 15065
Allegheny County (724) 226-7415
RAKESH KUMAR MD
Internal Medicine
1629 UNION AVE, SUITE 2
NATRONA HEIGHTS, PA 15065
Allegheny County (724) 224-8850
HIGHLANDS SURGICAL ASSOCIATION
Specialist
1629 UNION AVE
NATRONA HEIGHTS, PA 15065
Allegheny County (724) 224-4600
ROGER K. JOHNSON O.D.
Optometrist
1629 UNION AVE
NATRONA HEIGHTS, PA 15065
Allegheny County (724) 226-0444
ROGER K. JOHNSON, O.D.
Optometrist
1629 UNION AVE, SUITE ONE
NATRONA HEIGHTS, PA 15065
Allegheny County (724) 226-0444

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 1235288309. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Rakesh Kumar located?

Rakesh Kumar practices at 1629 Union Ave Suite 2, Natrona Heights, PA 15065. The listed phone number is (724) 224-8850.

What is Rakesh Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rakesh Kumar enrolled in Medicare?

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

Does Rakesh Kumar hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0682605) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Rakesh Kumar affiliated with any hospitals?

According to CMS data, Rakesh Kumar is affiliated with Allegheny Valley Hospital.

When was this NPI record last updated?

The NPPES record for Rakesh Kumar was last updated on October 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.