DR. KAPISTHALAM S KUMAR MD
NPI 1255335758
Internal Medicine - Medical Oncology in Trinity, FL
About Dr. Kapisthalam S Kumar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAPISTHALAM S KUMAR MD (NPI 1255335758) is an individual medical oncology provider in Trinity, Florida, licensed in Florida (67089) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Morton Plant North Bay Hospital, and is a graduate of Other (1975).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 7
Accepted 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
Dr. Kapisthalam S Kumar Md 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.
Areas of Expertise CMS Part B claims 33
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Morton Plant North Bay Hospital
Acute Care Hospitals · New Port Richey, FLHca Florida Trinity Hospital
Acute Care Hospitals · Trinity, FLHca Florida Bayonet Point Hospital
Acute Care Hospitals · Hudson, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
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.
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 Kapisthalam Kumar's NPI number?
The NPI number for Kapisthalam Kumar is 1255335758. It was assigned to this individual provider in the NPPES registry on June 13, 2005.
Where is Kapisthalam Kumar located?
Kapisthalam Kumar practices at 9320 State Road 54, Trinity, FL 34655. The listed phone number is (727) 493-2513.
What is Kapisthalam Kumar's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.
Is Kapisthalam Kumar enrolled in Medicare?
Yes. Kapisthalam 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 Kapisthalam Kumar accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Kapisthalam 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 Kapisthalam Kumar affiliated with any hospitals?
According to CMS data, Kapisthalam Kumar is affiliated with Morton Plant North Bay Hospital, Hca Florida Trinity Hospital and Hca Florida Bayonet Point Hospital.
When was this NPI record last updated?
The NPPES record for Kapisthalam Kumar was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.