SANTOSH KUMAR MD
NPI 1265695241
Family Medicine in Blair, NE
About Santosh Kumar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANTOSH KUMAR MD (NPI 1265695241) is an individual family medicine provider in Blair, Nebraska, licensed in Nebraska (32223) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Howard County Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
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
Santosh 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.
Medicare Billing Reassignments
4Medicare enrollment records show Santosh Kumar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Blair, NE 68008
- Reassigned Medicare billing, Nebraska enrollment
- 54 clinicians in this Medicare group
Tabor, IA 51653
- Reassigned Medicare billing, Iowa enrollment
- 91 clinicians in this Medicare group
Pawnee City, NE 68420
- Reassigned Medicare billing, Nebraska enrollment
- 11 clinicians in this Medicare group
Saint Paul, NE 68873
- Reassigned Medicare billing, Nebraska enrollment
- 34 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Howard County Medical Center
Critical Access Hospitals · St Paul, NEMemorial Community Hospital & Health System
Critical Access Hospitals · Blair, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
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.
BLAIR, NE 68008
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 Santosh Kumar's NPI number?
The NPI number for Santosh Kumar is 1265695241. It was assigned to this individual provider in the NPPES registry on July 9, 2008.
Where is Santosh Kumar located?
Santosh Kumar practices at 810 N 22nd St, Blair, NE 68008. The listed phone number is (402) 426-2182.
What is Santosh Kumar's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Santosh Kumar enrolled in Medicare?
Yes. Santosh 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 Santosh Kumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Santosh Kumar reassigns Medicare benefits to 4 organizations: Memorial Community Hospital Corporation (Blair, NE), Shenandoah Medical Center (Tabor, IA), Pawnee County Memorial Hospital (Pawnee City, NE) and Howard County Medical Center (Saint Paul, NE). 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 Santosh Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Santosh Kumar accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Santosh 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 Santosh Kumar affiliated with any hospitals?
According to CMS data, Santosh Kumar is affiliated with Howard County Medical Center and Memorial Community Hospital & Health System.
When was this NPI record last updated?
The NPPES record for Santosh Kumar was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Santosh Kumar, MD · NPI 1265695241
Family Medicine physician in Blair, Nebraska. Individual provider, active in the CMS NPPES registry since July 9, 2008.
## Identity
- **NPI:** 1265695241 (Entity type: Individual)
- **Enumerated:** July 9, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 32223 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 810 N 22ND ST, Blair, NE 68008-1128
- **Phone:** (402) 426-2182
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Memorial Community Hospital Corporation (NPI 1265408819, Blair, NE); Shenandoah Medical Center (NPI 1508487547, Tabor, IA); Pawnee County Memorial Hospital (NPI 1992759781, Pawnee City, NE); Howard County Medical Center (NPI 1154626216, Saint Paul, NE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** February 2, 2023
- **Other identifiers:** Other MD39494 (IA)
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Source: [NPI Profile](https://npiprofile.com/npi/1265695241) · Data from the CMS NPPES public registry.