PANKAJ KUMAR MD
NPI 1285920512
Internal Medicine in Kernersville, NC

Active since June 24, 2011PECOS EnrolledAccepts Medicare Assignment
975 NC HIGHWAY 66 S, KERNERSVILLE, NC 27284(336) 883-0029 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2025, May 4, 2018 (2 updates tracked since 2018).

About Pankaj Kumar Md NPPES

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

PANKAJ KUMAR MD (NPI 1285920512) is an individual internal medicine provider in Kernersville, North Carolina, licensed in North Carolina (2014-01466) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1285920512
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePANKAJ KUMARCredential: MD
Location Address975 NC HIGHWAY 66 SKernersville, NC 27284-3132
Mailing Address645 N Main StHigh Point, NC 27260-5017 · (336) 883-0029
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 24, 2011
Last NPPES UpdateFebruary 3, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
NPI 1285920512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 2014-01466
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
975 NC HIGHWAY 66 S, Kernersville, NC 27284

Other Identifiers 7

Other4690634NC · Aetna
Other1869UNC · Bcbs
Medicaid1285920512NC
OtherP01372151NC · Rr Medicare
Other1285920512NC · Tricare
Other1285920512NC · Medcost
Other5115609NC · United Healthcare

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

Pankaj 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 ID9830317791
PECOS Enrollment IDI20140905002345
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27284 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$71.27 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 3

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

Nurse Practitioner
975 NC HIGHWAY 66 S
KERNERSVILLE, NC 27284
Physician Assistant
975 NC HIGHWAY 66 S
KERNERSVILLE, NC 27284
Internal Medicine
975 NC HIGHWAY 66 S
KERNERSVILLE, NC 27284

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 Pankaj Kumar's NPI number?

The NPI number for Pankaj Kumar is 1285920512. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Where is Pankaj Kumar located?

Pankaj Kumar practices at 975 Nc Highway 66 S, Kernersville, NC 27284. The listed phone number is (336) 883-0029.

What is Pankaj Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pankaj Kumar enrolled in Medicare?

Yes. Pankaj 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 Pankaj Kumar accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Pankaj 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 Pankaj Kumar was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.