SANTOSH KUMAR MD
NPI 1265695241
Family Medicine in Blair, NE

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
810 N 22ND ST, BLAIR, NE 68008(402) 426-2182 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2023, Jan 8, 2020, Nov 23, 2016 (3 updates tracked since 2016).

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

NPI1265695241
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSANTOSH KUMARCredential: MD
Location Address810 N 22ND STBlair, NE 68008-1128
Mailing Address810 N 22nd StBlair, NE 68008-1128 · (402) 426-2182
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 9, 2008
Last NPPES UpdateFebruary 2, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
NPI 1265695241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NE · 32223 Licensed in NE · 5825
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
810 N 22ND ST, Blair, NE 68008

Secondary Practice Locations 2

Location 111109 S 84th St Ste 5800Papillion, NE 68046-4124 · Phone (402) 827-4900
Location 2300 Pershing AveShenandoah, IA 51601-2355 · Phone (712) 246-1230 · Fax (712) 246-7414

Other Identifiers 1

OtherMD39494IA · Ia License

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

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.

PECOS PAC ID1951570092
PECOS Enrollment IDI20110808000254, I20200116000260
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.

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, NE
OwnershipVoluntary non-profit - Other
CMS Certification Number281338
LocationP O Box 406, 1113 Sherman StSt Paul, NE 68873 · Howard County
Emergency services Birthing friendly

Memorial Community Hospital & Health System

Critical Access Hospitals · Blair, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281359
Location810 North 22nd StBlair, NE 68008 · Washington County
Emergency services Birthing friendly

Physician 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.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$56.19 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.

Nurse Anesthetist, Certified Registered
810 N 22ND ST
BLAIR, NE 68008
Occupational Therapist
810 N 22ND ST
BLAIR, NE 68008
General Acute Care Hospital (Critical Access)
810 N 22ND ST
BLAIR, NE 68008
Nurse Anesthetist, Certified Registered
810 N 22ND ST
BLAIR, NE 68008
Occupational Therapist
810 N 22ND ST
BLAIR, NE 68008
Physician Assistant (Medical)
810 N 22ND ST
BLAIR, NE 68008
Emergency Medicine
810 N 22ND ST
BLAIR, NE 68008
Emergency Medicine
810 N 22ND ST
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.

What insurance does Santosh Kumar accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica 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 with the weekly NPPES data releases published by CMS.