PRASHANTH ASHOK KUMAR
NPI 1245726371
Internal Medicine - Hematology & Oncology in Washington, DC

Active since July 01, 2018PECOS EnrolledAccepts Medicare Assignment
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037(202) 677-6903(202) 677-6389 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 1, 2026, Jul 10, 2024 (2 updates tracked since 2024).

About Prashanth Ashok Kumar NPPES

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

PRASHANTH ASHOK KUMAR (NPI 1245726371) is an individual hematology & oncology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD500002615) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kennewick, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1245726371
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NamePRASHANTH ASHOK KUMAR
Location Address2150 PENNSYLVANIA AVE NWWashington, DC 20037-3201
Mailing Address2150 Pennsylvania Ave NwWashington, DC 20037-3201
Fax(202) 677-6389
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 1, 2018
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1245726371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in DC · MD500002615✔ Licensed in WA · MD.70134757
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License MD.70134757 (WA)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License MD.70134757 (WA)
2150 PENNSYLVANIA AVE NW, Washington, DC 20037

Secondary Practice Location 1

Location 17360 W Deschutes AveKennewick, WA 99336-7774 · Phone (509) 783-0144 · Fax (509) 783-8244

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Prashanth Ashok 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 ID9739425661
PECOS Enrollment IDI20240725002399
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 Reassignments

2

Medicare enrollment records show Prashanth Ashok Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2150 PENNSYLVANIA AVE NW, SUITE 10-409A
Washington, DC 20037
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,275 clinicians in this Medicare group
Multi-Specialty
7350 VAN DUSEN RD STE 370
Laurel, MD 20707
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Maryland Oncology Hematology PA
  • 74 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
56 services18 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.
47 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20037 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$61.36 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$33.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
2150 PENNSYLVANIA AVE NW, SUITE 5-416
WASHINGTON, DC 20037
Obstetrics & Gynecology (Obstetrics)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine (Hematology & Oncology)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine (Rheumatology)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037

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 Prashanth Ashok Kumar's NPI number?

The NPI number for Prashanth Ashok Kumar is 1245726371. It was assigned to this individual provider in the NPPES registry on July 1, 2018.

Where is Prashanth Ashok Kumar located?

Prashanth Ashok Kumar practices at 2150 Pennsylvania Ave NW, Washington, DC 20037. The listed phone number is (202) 677-6903.

What is Prashanth Ashok Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Prashanth Ashok Kumar enrolled in Medicare?

Yes. Prashanth Ashok 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.

Which organizations bill Medicare for Prashanth Ashok Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prashanth Ashok Kumar reassigns Medicare benefits to 2 organizations: Medical Faculty Associates, Inc (Washington, DC) and Maryland Oncology Hematology, P.A. (Laurel, MD). Each 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 Prashanth Ashok Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prashanth Ashok Kumar accept?

Health plans from Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Prashanth Ashok 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 Prashanth Ashok Kumar was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.