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SEEMA KUMAR
NPI 1235662073
Internal Medicine in Marietta, GA

Active since April 08, 2017PECOS EnrolledAccepts Medicare Assignment
780 CANTON RD NE, MARIETTA, GA 30060(470) 267-1760 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2024, Apr 2, 2020 (2 updates tracked since 2020).

About Seema Kumar NPPES

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

SEEMA KUMAR (NPI 1235662073) is an individual internal medicine provider in Marietta, Georgia, licensed in Alabama (MD.38026) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2017).

NPPES Registry Identity

NPI1235662073
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSEEMA KUMAR
Location Address780 CANTON RD NEMarietta, GA 30060-7241
Mailing Address625 19th St SBirmingham, AL 35233-1900
Phone(470) 267-1760
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2017
Enumeration DateApril 8, 2017
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1235662073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · MD.38026
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
780 CANTON RD NE, Marietta, GA 30060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Seema Kumar 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 ID4880971613
PECOS Enrollment IDI20240814001919
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

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients

Hospital Affiliations CMS Care Compare 3

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 19

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

MRS. JENNIFER IRENE SARNO ACNP-BC
Nurse Practitioner (Acute Care)
780 CANTON RD NE, SUITE 400
MARIETTA, GA 30060
Cobb County (770) 422-3602
DR. ANDREW EVERETT SUTTON M.D.
Otolaryngology
780 CANTON RD NE, SUITE 330
MARIETTA, GA 30060
Cobb County (770) 427-0368
SLEEP HEALTH DIAGNOSTICS,LLC.
Clinic/Center (Sleep Disorder Diagnostic)
780 CANTON RD NE, SUITE 310
MARIETTA, GA 30060
Cobb County (770) 426-6611
CLAIRE FINK NP
Nurse Practitioner (Family)
780 CANTON RD NE
MARIETTA, GA 30060
Cobb County (770) 422-3602
MRS. CHRISTI HOWARD CNP
Nurse Practitioner (Family)
780 CANTON RD NE, SUITE 410
MARIETTA, GA 30060
Cobb County (678) 370-0370
DR. THOMAS M. HOLMES M.D.
Neuromusculoskeletal Medicine & OMM
780 CANTON RD NE, SUITE 400
MARIETTA, GA 30060
Cobb County (770) 422-3602
MRS. LISA HOLTZCLAW BROWN APRN
Nurse Practitioner (Family)
780 CANTON RD NE, SUITE 410
MARIETTA, GA 30060
Cobb County (678) 370-0370
DR. NITHI S ANAND MD
Psychiatry & Neurology (Neurology)
780 CANTON RD NE, SUITE 400
MARIETTA, GA 30060
Cobb County (770) 422-3602

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 Seema Kumar's NPI number?

The NPI number for Seema Kumar is 1235662073. It was assigned to this individual provider in the NPPES registry on April 8, 2017.

Where is Seema Kumar located?

Seema Kumar practices at 780 Canton Rd NE, Marietta, GA 30060. The listed phone number is (470) 267-1760.

What is Seema Kumar's specialty?

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

Is Seema Kumar enrolled in Medicare?

Yes. Seema 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.

What insurance does Seema Kumar accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Seema 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.

Is Seema Kumar affiliated with any hospitals?

According to CMS data, Seema Kumar is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Seema Kumar was last updated on June 26, 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.