SUMAN SHEKAR MD
NPI 1265750897
Pediatrics in Bowling Green, KY

Q: What is Suman Shekar's NPI number?

The NPI number for Suman Shekar is 1265750897. It was assigned to this individual provider in the NPPES registry on May 6, 2010.

Q: What is Suman Shekar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Suman Shekar was last updated on February 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 May 06, 2010PECOS EnrolledAccepts Medicare Assignment

1901 SCOTTSVILLE RD, BOWLING GREEN, KY 42104(270) 901-0629(270) 901-0892 Get Directions Write a Review

NPPES record last updated: February 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Suman Shekar Md NPPES

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

SUMAN SHEKAR MD (NPI 1265750897) is an individual pediatrics provider in Bowling Green, Kentucky, licensed in Kentucky (48337) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of Other (2006).

NPPES Registry Identity

NPI1265750897

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSUMAN SHEKARCredential: MD

Location Address1901 SCOTTSVILLE RDBowling Green, KY 42104-3303

Mailing Address1901 Scottsville RdBowling Green, KY 42104-3303 · (270) 901-0629 · Fax (270) 901-0892

Phone(270) 901-0629

Fax(270) 901-0892

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMay 6, 2010

Last NPPES UpdateFebruary 10, 2016

✔ NPI 1265750897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in KY · 48337

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedInternal MedicineTaxonomy 207R00000X · License 48337 (KY)

1901 SCOTTSVILLE RD, Bowling Green, KY 42104

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Accepted Insurance

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

Suman Shekar 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 ID9335465699

PECOS Enrollment IDI20160225000102

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 3

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.

111 services51 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.

28 services22 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180013

Location250 Park StreetBowling Green, KY 42101 · Warren County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42104 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$49.92 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

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

ELAINE MABEL ALVAREZ PICHARDO M.D.

Internal Medicine