ARCOT S PREMKUMAR MD
NPI 1265496665
Internal Medicine - Pulmonary Disease in Phoenix, AZ

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
14.65/100
CMS Quality Rating
2777 E CAMELBACK RD STE 200, PHOENIX, AZ 85016(602) 952-0002(602) 224-9119 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Arcot S Premkumar Md NPPES

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

ARCOT S PREMKUMAR MD (NPI 1265496665) is an individual pulmonary disease provider in Phoenix, Arizona, licensed in Arizona (12870) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1265496665
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameARCOT S PREMKUMARCredential: MD
Location Address2777 E CAMELBACK RD STE 200Phoenix, AZ 85016-4352
Mailing AddressPo Box 18892Belfast, ME 04915-4083 · (888) 402-7256 · Fax (888) 902-1099
Fax(602) 224-9119
Sole ProprietorNo
Medical School CMSOtherGraduated 1972
Enumeration DateApril 13, 2006
Last NPPES UpdateMarch 18, 2025
NPPES CertifiedMarch 18, 2025
NPI 1265496665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in AZ · 12870
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.

2777 E CAMELBACK RD STE 200, Phoenix, AZ 85016

Secondary Practice Location 1

Location 15090 N 40th St, SUITE 122Phoenix, AZ 85018-2111 · Phone (602) 264-5685 · Fax (602) 631-9870

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

Arcot S Premkumar 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 ID7618972985
PECOS Enrollment IDI20101124000195
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
223 services184 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
35 services35 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
28 services28 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
27 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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.

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.

14.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost48.84

Referred Medical Equipment & Supplies CMS DME claims 23

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers98 claims98 services$32.30 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers49 claims49 services$71.11 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers48 claims126 services$27.96 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers36 claims184 services$16.66 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers33 claims177 services$12.93 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers74 claims74 services$43.32 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 (Clinical Cardiac Electrophysiology)
2777 E CAMELBACK RD STE 200
PHOENIX, AZ 85016
Physician Assistant
2777 E CAMELBACK RD STE 200
PHOENIX, AZ 85016
Nurse Practitioner (Family)
2777 E CAMELBACK RD STE 200
PHOENIX, AZ 85016
Nurse Practitioner (Acute Care)
2777 E CAMELBACK RD STE 200
PHOENIX, AZ 85016
Internal Medicine (Interventional Cardiology)
2777 E CAMELBACK RD STE 200
PHOENIX, AZ 85016
Internal Medicine (Interventional Cardiology)
2777 E CAMELBACK RD STE 200
PHOENIX, AZ 85016
Internal Medicine (Interventional Cardiology)
2777 E CAMELBACK RD STE 200
PHOENIX, AZ 85016
Internal Medicine (Interventional Cardiology)
2777 E CAMELBACK RD STE 200
PHOENIX, AZ 85016

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 Arcot Premkumar's NPI number?

The NPI number for Arcot Premkumar is 1265496665. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Arcot Premkumar located?

Arcot Premkumar practices at 2777 E Camelback Rd Ste 200, Phoenix, AZ 85016. The listed phone number is (602) 952-0002.

What is Arcot Premkumar's specialty?

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

Is Arcot Premkumar enrolled in Medicare?

Yes. Arcot Premkumar 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 Arcot Premkumar accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Arcot Premkumar 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 Arcot Premkumar was last updated on March 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.