VISHAL KUMAR MD
NPI 1255853792
Surgery - Trauma Surgery in Longview, WA

Active since July 15, 2017PECOS EnrolledAccepts Medicare Assignment
1615 DELAWARE ST, LONGVIEW, WA 98632(360) 501-3500(360) 501-3555 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 9, 2026, Oct 25, 2023, Oct 2, 2023 and 3 more (6 updates tracked since 2017).

About Vishal Kumar Md NPPES

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

VISHAL KUMAR MD (NPI 1255853792) is an individual trauma surgery provider in Longview, Washington, licensed in Washington (MD.MD.70083028) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1255853792
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameVISHAL KUMARCredential: MD
Location Address1615 DELAWARE STLongview, WA 98632-2367
Mailing Address8600 State Route 91 Ste 330Peoria, IL 61615-7835 · (309) 691-4005
Fax(360) 501-3555
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 15, 2017
Last NPPES UpdateApril 9, 20266 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1255853792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License✔ Licensed in WA · MD.MD.70083028
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedSurgeryTaxonomy 208600000X · License MD.MD.70083028 (WA)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 036167108 (IL)
1615 DELAWARE ST, Longview, WA 98632

Secondary Practice Location 1

Location 18600 State Route 91 Ste 330Peoria, IL 61615-7835 · Phone (309) 691-4005

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

Vishal 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.

PECOS PAC ID749555498
PECOS Enrollment IDI20260511001134
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 Vishal Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Multi-Specialty
1615 DELAWARE ST
Longview, WA 98632
  • Reassigned Medicare billing, Washington enrollment
  • 308 clinicians in this Medicare group
Pediatrics
1920 BLACK LAKE BLVD SW
Olympia, WA 98512
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 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 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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
102 services71 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.
100 services83 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
75 services75 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services14 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500041
Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

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.

Radiology (Radiation Oncology)
1615 DELAWARE ST
LONGVIEW, WA 98632
Nurse Practitioner (Family)
1615 DELAWARE ST
LONGVIEW, WA 98632
Internal Medicine (Hematology)
1615 DELAWARE ST
LONGVIEW, WA 98632
Nurse Anesthetist, Certified Registered
1615 DELAWARE ST
LONGVIEW, WA 98632
Pharmacist
1615 DELAWARE ST
LONGVIEW, WA 98632
Nurse Practitioner (Family)
1615 DELAWARE ST
LONGVIEW, WA 98632
Surgery
1615 DELAWARE ST
LONGVIEW, WA 98632
Pharmacist
1615 DELAWARE ST
LONGVIEW, WA 98632

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 Vishal Kumar's NPI number?

The NPI number for Vishal Kumar is 1255853792. It was assigned to this individual provider in the NPPES registry on July 15, 2017.

Where is Vishal Kumar located?

Vishal Kumar practices at 1615 Delaware St, Longview, WA 98632. The listed phone number is (360) 501-3500.

What is Vishal Kumar's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Vishal Kumar enrolled in Medicare?

Yes. Vishal 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 Vishal Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vishal Kumar reassigns Medicare benefits to 2 organizations: Peacehealth (Longview, WA) and Multicare Health System (Olympia, WA). 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 Vishal Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vishal Kumar accept?

Health plans from Ambetter Health, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Vishal 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 Vishal Kumar affiliated with any hospitals?

According to CMS data, Vishal Kumar is affiliated with St Mary Medical Center, Saint Francis Medical Center, Peacehealth St John Medical Center and Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Vishal Kumar was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.