DR. KEWAL K VERMA M.D. NPI 1285802876

Family Medicine in Jacksonville, AL

NPI 1285802876 Individual Male Years of Experience 56 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

About KEWAL VERMA

Kewal Verma is a primary care provider established in Jacksonville, Alabama and his medical specialization is family medicine with more than 56 years of experience. The NPI number of Kewal Verma is 1285802876 and was assigned on February 2008. The practitioner's primary taxonomy code is 207Q00000X with license number 7306 (AL). The provider is registered as an individual and his NPI record was last updated 6 years ago.

A primary care provider (PCP) like Dr. Kewal K Verma M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Kewal Verma is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Kewal Verma is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1285802876

Provider NameDR. KEWAL K VERMA M.D.
Provider Location Address1642 PELHAM RD S JACKSONVILLE, AL 36265
Provider Mailing Address1642 SUITE A PELHAM ROAD SOUTH JACKSONVILLE, AL 36265
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1966
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date02-15-2008
Last Update Date02-19-2016


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.7306
License StateAL
Taxonomy DescriptionFamily 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.

Business Address

DR. KEWAL K VERMA M.D.
1642 PELHAM RD S
JACKSONVILLE, AL
ZIP 36265
Phone: (256) 365-2233
Fax: (256) 365-2187

Get Directions


Mailing Address

DR. KEWAL K VERMA M.D.
1642 SUITE A PELHAM ROAD SOUTH
JACKSONVILLE, AL
ZIP 36265
Phone: (256) 365-2233
Fax: (256) 365-2187



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID547291197
PECOS Enrollment IDI20080415000529
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 161Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 119Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • 60Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 54Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 31Administration of influenza virus vaccine (HCPCS:G0008)
  • 27Hemoglobin A1C level (HCPCS:83036)
  • 20Automated urinalysis test (HCPCS:81003)
  • 19X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 13Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 12Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1172V00000XOther Service ProvidersCommunity Health Worker7306ALNo

Taxonomy Description: community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
C72876MEDICARE UPIN (02)

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457711863ALLERGY & FAMILY MEDICINE, PC
Organization
Family Medicine1642 PELHAM RD S SUITE A
JACKSONVILLE, AL 36265
(256) 365-2233
1124427851JOHNSON RX INC
Organization
Pharmacy (Community/Retail Pharmacy)1642 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 706-6845
1356944011DR. JULIE CLARK PHARMD
Individual
Pharmacist1642 PELHAM RD S
JACKSONVILLE, AL 36265
(256) 706-6845

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.