VIKRAM A KUMAR MD
NPI 1295758035
Neurological Surgery in Phoenix, AZ

Q: What is Vikram Kumar's NPI number?

The NPI number for Vikram Kumar is 1295758035. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Vikram Kumar's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Vikram Kumar was last updated on August 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment

82.49/100

CMS Quality Rating

1331 N 7TH ST STE 405, PHOENIX, AZ 85006(866) 974-2673(866) 939-2673 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 13, 2025, Apr 10, 2025, Jul 21, 2022 (3 updates tracked since 2022).

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About Vikram A Kumar Md NPPES

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

VIKRAM A KUMAR MD (NPI 1295758035) is an individual neurological surgery provider in Phoenix, Arizona, licensed in Arizona (35612) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Rutgers New Jersey Medical School (2000).

NPPES Registry Identity

NPI1295758035

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameVIKRAM A KUMARCredential: MD

Location Address1331 N 7TH ST STE 405Phoenix, AZ 85006-2754

Mailing Address18444 N 25th Ave Ste 310Phoenix, AZ 85023-1266 · (866) 974-2673 · Fax (866) 939-2673

Phone(866) 974-2673

Fax(866) 939-2673

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 2000

Enumeration DateJuly 25, 2006

Last NPPES UpdateAugust 13, 20253 updates tracked since enumeration

NPPES CertifiedAugust 13, 2025

✔ NPI 1295758035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

License✔ Licensed in AZ · 35612

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

1331 N 7TH ST STE 405, Phoenix, AZ 85006

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Secondary Practice Locations 4

Location 118444 N 25th Ave Ste 210Phoenix, AZ 85023-1264 · Phone (866) 974-2673 · Fax (866) 939-2673

Location 210484 W Thunderbird Blvd Ste 100Sun City, AZ 85351-6019 · Phone (866) 974-2673 · Fax (866) 939-2673

Location 310494 W Thunderbird Blvd Ste 102Sun City, AZ 85351-6122 · Phone (866) 974-2673 · Fax (866) 939-2673

Location 43420 S Mercy Rd Ste 211Gilbert, AZ 85297-0424 · Phone (602) 254-3151 · Fax (866) 939-2673

Other Identifiers 1

Medicaid114211AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.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

Vikram A 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 ID9537164918

PECOS Enrollment IDI20070130000412

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 5

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.

40 services36 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

38 services35 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.

26 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

82.49/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.09

Promoting Interoperability

100

Improvement Activities

Cost

68.54

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

50%129 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

40%58 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

56%1,346 patients2/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%265 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

92%569 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

13%679 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 94% · 428 patients

Patients screened: 95% · 428 patients

95%64 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

89%195 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

67%60 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 275 patients

Patients totalRate: 3% · 275 patients

2%275 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 11

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

ROBERT POWELL

Physician Assistant