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SOORAJ KUMAR MBBS
NPI 1255824363
Internal Medicine - Pulmonary Disease in Tucson, AZ

Active since June 13, 2018PECOS EnrolledAccepts Medicare Assignment
1501 N CAMPBELL AVE, TUCSON, AZ 85724(520) 626-6114 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2024, Jun 4, 2021, May 11, 2021 and 1 more (4 updates tracked since 2018).

About Sooraj Kumar Mbbs NPPES

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

SOORAJ KUMAR MBBS (NPI 1255824363) is an individual pulmonary disease provider in Tucson, Arizona, licensed in Arizona (72023) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1255824363
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSOORAJ KUMARCredential: MBBS
Location Address1501 N CAMPBELL AVETucson, AZ 85724-6204
Mailing Address1501 N Campbell Avenue Po Box 5030-aTucson, AZ 85724-0001 · (520) 626-6114
Phone(520) 626-6114
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 13, 2018
Last NPPES UpdateJuly 2, 20244 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1255824363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in AZ · 72023✔ Licensed in AZ · R77065
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License R77065 (AZ)
1501 N CAMPBELL AVE, Tucson, AZ 85724
Open in Google Maps ↗

Secondary Practice Location 1

Location 12800 E Ajo Way Ste 100Tucson, AZ 85713-6204 · Phone (520) 874-2778 · Fax (520) 874-3456

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Sooraj Kumar Mbbs 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 ID9830440320
PECOS Enrollment IDI20240708003471
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
35 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85724 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 20

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

MR. DOUGLAS FRANK LARSON PH.D.
Perfusionist
1501 N CAMPBELL AVE, SUITE 4402 ARIZONA HEALTH SCIENCE CENTER
TUCSON, AZ 85724
Pima County (520) 626-6339
MARTIN DEMANT
Pediatrics
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 626-6507
STEPHANIE RUNKE MD
Obstetrics & Gynecology
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 694-2530
ASHLEY AZIZI ASSADI MD
Pediatrics
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 626-7944
MOHAMMED ABBAS MD
Orthopaedic Surgery
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 626-9245
STUART HAMEROFF MD
Anesthesiology
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 694-8888
JOHN GUISTO MD
Emergency Medicine
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 874-3500
BALDASSARRE STEA MD, PHD
Radiology (Radiation Oncology)
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 694-7236

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 Sooraj Kumar's NPI number?

The NPI number for Sooraj Kumar is 1255824363. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Sooraj Kumar located?

Sooraj Kumar practices at 1501 N Campbell Ave, Tucson, AZ 85724. The listed phone number is (520) 626-6114.

What is Sooraj Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sooraj Kumar enrolled in Medicare?

Yes. Sooraj 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 Sooraj Kumar accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Sooraj 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 Sooraj Kumar was last updated on July 2, 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.