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ARUN KUMAR MD
NPI 1306363940
Hospitalist in Milwaukee, WI

Active since August 24, 2017PECOS Enrolled
75.75/100
CMS Quality Rating
2323 N LAKE DR, MILWAUKEE, WI 53211(414) 585-4932 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2020, Aug 24, 2017 (2 updates tracked since 2017).

About Arun Kumar Md NPPES

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

ARUN KUMAR MD (NPI 1306363940) is an individual hospitalist provider in Milwaukee, Wisconsin, licensed in Wisconsin (73333) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Morton Hospital, and maintains a secondary practice location in Brockton.

NPPES Registry Identity

NPI1306363940
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameARUN KUMARCredential: MD
Location Address2323 N LAKE DRMilwaukee, WI 53211-4508
Mailing Address2323 N Lake DrMilwaukee, WI 53211-4508 · (414) 585-4932
Phone(414) 585-4932
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 24, 2017
Last NPPES UpdateDecember 22, 20232 updates tracked since enumeration
NPPES CertifiedDecember 22, 2023
✔ NPI 1306363940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in WI · 73333✔ Licensed in MA · 1017285
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2323 N LAKE DR, Milwaukee, WI 53211
Open in Google Maps ↗

Secondary Practice Location 1

Location 1235 N Pearl StBrockton, MA 02301-1794 · Phone (706) 294-5302

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arun Kumar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577989094
PECOS Enrollment IDI20240329000103
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Arun Kumar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbia St. Mary's Hospital Milwaukee Inc
Same address
Multi-Specialty
2323 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1225071491 (414) 585-1000
Steward Medical Group, Inc
850 mi
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group
NPI 1629398219 (615) 467-4474
Lifespan Physician Group Of Massachusetts Inc
858 mi
Family Medicine
2007 BAY ST
Taunton, MA 02780
  • Reassigned Medicare billing, Massachusetts enrollment
  • 547 clinicians in this Medicare group
NPI 1235957713 (774) 409-2009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
363 services188 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
360 services176 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
236 services222 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
116 services59 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Morton Hospital

Acute Care Hospitals · Taunton, MA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number220073
Location88 Washington StreetTaunton, MA 02780 · Bristol County
Emergency services

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

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.

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
1 supplier24 claims24 services$67.16 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.86 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.

NATALIA RUMAS MD
Emergency Medicine
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 290-6720
GRETCHEN JANET WADEWITZ PT
Physical Therapist
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1066
RAVEN JULIUS SANDIFER JR. PHARMD
Pharmacist
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1068
DR. SYDNEY S BISHOP PHARMD
Pharmacist (Critical Care)
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1068
DR. RICHARD C. LENNERTZ JR. M.D.
Pain Medicine (Interventional Pain Medicine)
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1000
MRS. SUSAN K. VANDERTIE RD CDE
Dietitian, Registered
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1143
BIANA KOTLYAR M.D.
Psychiatry & Neurology (Psychiatry)
2323 N LAKE DR, 1ST FLOOR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1620
MS. ANN MARIE FISCHER OTR0
Occupational Therapist
2323 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1066

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 Arun Kumar's NPI number?

The NPI number for Arun Kumar is 1306363940. It was assigned to this individual provider in the NPPES registry on August 24, 2017.

Where is Arun Kumar located?

Arun Kumar practices at 2323 N Lake Dr, Milwaukee, WI 53211. The listed phone number is (414) 585-4932.

What is Arun Kumar's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Arun Kumar enrolled in Medicare?

Yes. Arun Kumar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Arun Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arun Kumar reassigns Medicare benefits to 3 organizations: Columbia St. Mary's Hospital Milwaukee Inc (Milwaukee, WI), Steward Medical Group, Inc (Watertown, MA) and Lifespan Physician Group Of Massachusetts Inc (Taunton, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Arun Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Arun Kumar affiliated with any hospitals?

According to CMS data, Arun Kumar is affiliated with Morton Hospital, Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Arun Kumar was last updated on December 22, 2023. 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.