UMESH KUMAR MD
NPI 1285864777
Family Medicine in Mckinney, TX
About Umesh Kumar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UMESH KUMAR MD (NPI 1285864777) is an individual family medicine provider in Mckinney, Texas, licensed in Texas (P4588) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and maintains a secondary practice location in Denison.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
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
Umesh 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
6Medicare enrollment records show Umesh Kumar reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Denison, TX 75020
- Reassigned Medicare billing, Texas enrollment
- 112 clinicians in this Medicare group
Mckinney, TX 75020
- Reassigned Medicare billing, Texas enrollment
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 985 clinicians in this Medicare group
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Sound Inpatient Physicians Of Texas I, Inc
- 478 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Texas enrollment
- 2,009 clinicians in this Medicare group
Scottsdale, AZ 85254
- Reassigned Medicare billing, Texas enrollment
- 163 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Texoma Medical Center
Acute Care Hospitals · Denison, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75070 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Umesh Kumar's NPI number?
The NPI number for Umesh Kumar is 1285864777. It was assigned to this individual provider in the NPPES registry on July 20, 2009.
Where is Umesh Kumar located?
Umesh Kumar practices at 5810 Collin Mckinney Pkwy Ste 202, Mckinney, TX 75070. The listed phone number is (972) 919-0721.
What is Umesh Kumar's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Umesh Kumar enrolled in Medicare?
Yes. Umesh 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 Umesh Kumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Umesh Kumar reassigns Medicare benefits to 6 organizations: Hospitalist Medicine Physicians Of Texas - Burnet PLLC (Denison, TX), Texoma Primary Care Associates PLLC (Mckinney, TX), Acclaim Physician Group, Inc (Fort Worth, TX), Sound Inpatient Physicians Of Texas 1, Inc (Fort Worth, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX) and 1 more organization, listed in the Medicare section above. 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 Umesh Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Umesh Kumar accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc. and Molina Healthcare and 1 other insurer list Umesh 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 Umesh Kumar affiliated with any hospitals?
According to CMS data, Umesh Kumar is affiliated with Texoma Medical Center.
When was this NPI record last updated?
The NPPES record for Umesh Kumar was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Umesh Kumar, MD · NPI 1285864777
Family Medicine physician in Mckinney, Texas. Individual provider, active in the CMS NPPES registry since July 20, 2009.
## Identity
- **NPI:** 1285864777 (Entity type: Individual)
- **Enumerated:** July 20, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** P4588 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5810 COLLIN MCKINNEY PKWY STE 202, Mckinney, TX 75070-5111
- **Phone:** (972) 919-0721 · **Fax:** (972) 919-0725
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Hospitalist Medicine Physicians Of Texas - Burnet PLLC (NPI 1265275887, Denison, TX); Texoma Primary Care Associates PLLC (NPI 1972185338, Mckinney, TX); Acclaim Physician Group, Inc (NPI 1780076562, Fort Worth, TX); Sound Inpatient Physicians Of Texas 1, Inc (NPI 1689096570, Fort Worth, TX); Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095, Humble, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 29, 2024
- **Other identifiers:** Medicaid 310791403 (TX); Other 8EZ758 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1285864777) · Data from the CMS NPPES public registry.