DR. PARAAG KUMAR M.D.
NPI 1265751192
Family Medicine in Austin, TX

Q: What is Paraag Kumar's NPI number?

The NPI number for Paraag Kumar is 1265751192. It was assigned to this individual provider in the NPPES registry on May 17, 2010.

Q: What is Paraag Kumar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Paraag Kumar was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 17, 2010PECOS EnrolledAccepts Medicare Assignment

319 CONGRESS AVENUE, SUITE 100, AUSTIN, TX 78701(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Oct 9, 2024, Feb 13, 2023 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Paraag Kumar M.d. NPPES

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

DR. PARAAG KUMAR M.D. (NPI 1265751192) is an individual family medicine provider in Austin, Texas, licensed in Texas (P8686) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1265751192

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. PARAAG KUMARCredential: M.D.

Location Address319 CONGRESS AVENUE, SUITE 100Austin, TX 78701

Mailing Address319 Congress Avenue, Suite 100Austin, TX 78701 · (888) 663-6331

Phone(888) 663-6331

Fax(415) 252-7176

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMay 17, 2010

Last NPPES UpdateMarch 17, 20255 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1265751192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · P8686

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.

319 CONGRESS AVENUE, Austin, TX 78701

Open in Google Maps ↗

Secondary Practice Locations 3

Location 12901 Montopolis DrAustin, TX 78741-6411 · Phone (512) 978-9901 · Fax (512) 901-9765

Location 23601 W William Cannon Dr Ste BAustin, TX 78749-1533 · Phone (512) 988-5355 · Fax (512) 323-0307

Location 31000 E 41st St Ste 925Austin, TX 78751-4856 · Phone (512) 978-9940 · Fax (512) 901-9702

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Paraag 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 ID4688999725

PECOS Enrollment IDI20150211001608

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 2

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.

47 services32 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.

27 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78701 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

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 Paraag Kumar's NPI number?

The NPI number for Paraag Kumar is 1265751192. It was assigned to this individual provider in the NPPES registry on May 17, 2010.

Where is Paraag Kumar located?

Paraag Kumar practices at 319 Congress Avenue Suite 100, Austin, TX 78701. The listed phone number is (888) 663-6331.

What is Paraag Kumar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paraag Kumar enrolled in Medicare?

Yes. Paraag 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 Paraag Kumar accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Paraag 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.

When was this NPI record last updated?

The NPPES record for Paraag Kumar was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.