DR. NEIL SUDHIR KUMAR MD
NPI 1285920454
Orthopaedic Surgery - Sports Medicine in Brandon, FL

Active since June 25, 2011PECOS EnrolledAccepts Medicare Assignment
560 S LAKEWOOD DR STE 101, BRANDON, FL 33511(813) 978-9700(813) 558-6186 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2024, Feb 26, 2021, Aug 24, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Neil Sudhir Kumar Md NPPES

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

DR. NEIL SUDHIR KUMAR MD (NPI 1285920454) is an individual sports medicine provider in Brandon, Florida, licensed in Florida (ME132487) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains a secondary practice location in Brandon.

NPPES Registry Identity

NPI1285920454
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. NEIL SUDHIR KUMARCredential: MD
Location Address560 S LAKEWOOD DR STE 101Brandon, FL 33511-5015
Mailing Address560 S Lakewood Dr Ste 101Brandon, FL 33511-5015 · (813) 978-9700 · Fax (813) 558-6186
Fax(813) 558-6186
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 25, 2011
Last NPPES UpdateJuly 29, 20245 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
NPI 1285920454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in FL · ME132487
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
560 S LAKEWOOD DR STE 101, Brandon, FL 33511

Secondary Practice Location 1

Location 1721 W Robertson St Ste 102Brandon, FL 33511 · Phone (813) 684-3707

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

Dr. Neil Sudhir 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 ID1153626858
PECOS Enrollment IDI20170925001842
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 7

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 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.
43 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services21 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
23 services13 patients
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.
22 services18 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
20 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

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.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
2 suppliers19 claims19 services$68.48 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.

Physical Therapist
560 S LAKEWOOD DR STE 101
BRANDON, FL 33511
Physician Assistant
560 S LAKEWOOD DR STE 101
BRANDON, FL 33511
Occupational Therapist
560 S LAKEWOOD DR STE 101
BRANDON, FL 33511
Orthopaedic Surgery
560 S LAKEWOOD DR STE 101
BRANDON, FL 33511
Orthopaedic Surgery
560 S LAKEWOOD DR STE 101
BRANDON, FL 33511
Specialist/Technologist (Athletic Trainer)
560 S LAKEWOOD DR STE 101
BRANDON, FL 33511
Orthopaedic Surgery
560 S LAKEWOOD DR STE 101
BRANDON, FL 33511
Occupational Therapist
560 S LAKEWOOD DR STE 101
BRANDON, FL 33511

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 Neil Kumar's NPI number?

The NPI number for Neil Kumar is 1285920454. It was assigned to this individual provider in the NPPES registry on June 25, 2011.

Where is Neil Kumar located?

Neil Kumar practices at 560 S Lakewood Dr Ste 101, Brandon, FL 33511. The listed phone number is (813) 978-9700.

What is Neil Kumar's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Neil Kumar enrolled in Medicare?

Yes. Neil 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 Neil Kumar accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Neil 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 Neil Kumar affiliated with any hospitals?

According to CMS data, Neil Kumar is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Neil 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.