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DR. NAVEEN KUMAR D.O.
NPI 1306038450
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Gilbert, AZ

Active since August 13, 2007PECOS EnrolledAccepts Medicare Assignment
3485 S MERCY RD, SUITE 104, GILBERT, AZ 85297(480) 558-3223(480) 558-5152 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 10, 2017, Jul 11, 2016 (2 updates tracked since 2016).

About Dr. Naveen Kumar D.o. NPPES

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

DR. NAVEEN KUMAR D.O. (NPI 1306038450) is an individual otolaryngology/facial plastic surgery provider in Gilbert, Arizona, licensed in Michigan (5101018000) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2007).

NPPES Registry Identity

NPI1306038450
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. NAVEEN KUMARCredential: D.O.
Location Address3485 S MERCY RD, SUITE 104Gilbert, AZ 85297-0429
Mailing Address3485 S Mercy Rd, Suite 104Gilbert, AZ 85297-0429 · (480) 558-3223 · Fax (480) 558-5152
Phone(480) 558-3223
Fax(480) 558-5152
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2007
Enumeration DateAugust 13, 2007
Last NPPES UpdateJanuary 10, 20172 updates tracked since enumeration
✔ NPI 1306038450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in MI · 5101018000
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
3485 S MERCY RD, Gilbert, AZ 85297
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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. Naveen Kumar D.o. 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 ID8820372758
PECOS Enrollment IDI20170418002805
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 11

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
514 services440 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.
404 services404 patients
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.
329 services213 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
276 services276 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
179 services156 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
110 services87 patients

Other Providers at the Same Location NPPES 7

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

ALEX INIGUEZ PTA
Physical Therapy Assistant
3485 S MERCY RD, SUITE 101
GILBERT, AZ 85297
Maricopa County (480) 963-2400
STACEY L BILLYARD PT, DPT
Physical Medicine & Rehabilitation
3485 S MERCY RD, SUITE101
GILBERT, AZ 85297
Maricopa County (480) 963-2400
ANGELICA VILLAPANDO PTA
Physical Therapy Assistant
3485 S MERCY RD, #101
GILBERT, AZ 85297
Maricopa County (480) 963-2400
TRINITY ENT AND FACIAL AESTHETICS, LLC
Otolaryngology (Facial Plastic Surgery)
3485 S MERCY RD, SUITE 103
GILBERT, AZ 85297
Maricopa County (480) 558-3223
VEENA VANMALA VATS MD
Otolaryngology (Facial Plastic Surgery)
3485 S MERCY RD, SUITE 103
GILBERT, AZ 85297
Maricopa County (480) 558-3223
KELLY AMATURO PTA
Physical Therapy Assistant
3485 S MERCY RD, SUITE 101
GILBERT, AZ 85297
Maricopa County (480) 963-2400
SPECTRUM SPINE AND SPORT PHYSICAL THERAPY LLC
Physical Therapist
3485 S MERCY RD, SUITE 101
GILBERT, AZ 85297
Maricopa County (480) 963-2400

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 Naveen Kumar's NPI number?

The NPI number for Naveen Kumar is 1306038450. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Naveen Kumar located?

Naveen Kumar practices at 3485 S Mercy Rd Suite 104, Gilbert, AZ 85297. The listed phone number is (480) 558-3223.

What is Naveen Kumar's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Naveen Kumar enrolled in Medicare?

Yes. Naveen 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 Naveen Kumar accept?

Health plans from UnitedHealthcare list Naveen 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 Naveen Kumar was last updated on January 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.