NAVIN KUMAR M.D
NPI 1255952248
Student in an Organized Health Care Education/Training Program in Athens, GA

Q: What is Navin Kumar's NPI number?

The NPI number for Navin Kumar is 1255952248. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Q: What is Navin Kumar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Navin Kumar was last updated on March 9, 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.

Active since April 30, 2020PECOS EnrolledAccepts Medicare Assignment

1270 PRINCE AVE SUITE 201, ATHENS, GA 30606(706) 475-7055 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Navin Kumar M.d NPPES

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

NAVIN KUMAR M.D (NPI 1255952248) is an individual student in an organized health care education/training program in Athens, Georgia and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and maintains a secondary practice location in Athens.

NPPES Registry Identity

NPI1255952248

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNAVIN KUMARCredential: M.D

Location Address1270 PRINCE AVE SUITE 201Athens, GA 30606

Mailing Address1199 Prince Ave # 70Athens, GA 30606

Phone(706) 475-7055

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 30, 2020

Last NPPES UpdateMarch 9, 2022

NPPES CertifiedMarch 9, 2022

✔ NPI 1255952248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1270 PRINCE AVE SUITE 201, Athens, GA 30606

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Secondary Practice Location 1

Location 11270 Prince Ave Suite 201Athens, GA 30606 · Phone (706) 475-7055

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Navin Kumar M.d 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 ID6709259989

PECOS Enrollment IDI20230919001456

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 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 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.

464 services194 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

141 services138 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.

127 services82 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

82 services81 patients

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.

22 services18 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.

20 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390001

Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County

Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390125

Location601 Park StreetHonesdale, PA 18431 · Wayne County

Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390338

Location330 Main StreetDickson City, PA 18519 · Lackawanna County

Emergency services

Other Providers at the Same Location NPPES 4

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

TOBI CALEB OLUSAKIN

Student in an Organized Health Care Education/Training Program

1270 PRINCE AVE SUITE 201
ATHENS, GA 30606

Clarke County (706) 475-7055

INEMESIT DAVID AKPAN M.D

Student in an Organized Health Care Education/Training Program

1270 PRINCE AVE SUITE 201
ATHENS, GA 30606

Clarke County (706) 475-7055

KIKELOMO OLAMIDE OLAOSEBIKAN M.D.

Internal Medicine

1270 PRINCE AVE SUITE 201
ATHENS, GA 30606

Clarke County (706) 475-7055

SYLVANUS NII LOMOTEY ADDOTEY MD

Student in an Organized Health Care Education/Training Program

1270 PRINCE AVE SUITE 201
ATHENS, GA 30606

Clarke County (706) 475-7055

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 Navin Kumar's NPI number?

The NPI number for Navin Kumar is 1255952248. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Where is Navin Kumar located?

Navin Kumar practices at 1270 Prince Ave Suite 201, Athens, GA 30606. The listed phone number is (706) 475-7055.

What is Navin Kumar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Navin Kumar enrolled in Medicare?

Yes. Navin 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 Navin Kumar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Navin 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 Navin Kumar affiliated with any hospitals?

According to CMS data, Navin Kumar is affiliated with Geisinger-Community Medical Center, Wayne Memorial Hospital, Geisinger Wyoming Valley Medical Center and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for Navin Kumar was last updated on March 9, 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.