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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PRADEEP KUMAR M.D.
NPI 1295710994
Internal Medicine - Gastroenterology in Greensburg, PA

Active since December 14, 2005PECOS Enrolled
527 W NEWTON ST, GREENSBURG, PA 15601(724) 837-8118 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Pradeep Kumar M.d. NPPES

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

DR. PRADEEP KUMAR M.D. (NPI 1295710994) is an individual gastroenterology provider in Greensburg, Pennsylvania, licensed in Pennsylvania (MD039658L) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Mckeesport Hospital, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1295710994
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. PRADEEP KUMARCredential: M.D.
Location Address527 W NEWTON STGreensburg, PA 15601-2819
Mailing Address2219 Woodmont DrExport, PA 15632-8939 · (724) 837-8118
Phone(724) 837-8118
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateDecember 14, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1295710994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD039658L
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
527 W NEWTON ST, Greensburg, PA 15601
Open in Google Maps ↗

Other Identifiers 2

Medicaid1127390PA
Other162053PA · Highmark Bc Bs

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. Pradeep 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 ID1557675006
PECOS Enrollment IDI20150729006827
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

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Upmc Mckeesport Hospital

Acute Care Hospitals · Mc Keesport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390002
Location1500 Fifth AvenueMc Keesport, PA 15132 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15601 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 Pradeep Kumar's NPI number?

The NPI number for Pradeep Kumar is 1295710994. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Pradeep Kumar located?

Pradeep Kumar practices at 527 W Newton St, Greensburg, PA 15601. The listed phone number is (724) 837-8118.

What is Pradeep Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Pradeep Kumar enrolled in Medicare?

Yes. Pradeep 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.

Is Pradeep Kumar affiliated with any hospitals?

According to CMS data, Pradeep Kumar is affiliated with Upmc Mckeesport Hospital.

When was this NPI record last updated?

The NPPES record for Pradeep Kumar was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.