ATUL KUMAR M.D., MBA
NPI 1316049257
Internal Medicine - Gastroenterology in Pensacola, FL

Q: What is Atul Kumar's NPI number?

The NPI number for Atul Kumar is 1316049257. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Q: What is Atul Kumar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Atul Kumar was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment

5151 N 9TH AVE, PENSACOLA, FL 32504(850) 416-7000 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 8, 2025, Jun 5, 2025, Mar 7, 2025 and 4 more (7 updates tracked since 2020).

On this page

About Atul Kumar M.d., Mba NPPES

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

ATUL KUMAR M.D., MBA (NPI 1316049257) is an individual gastroenterology provider in Pensacola, Florida, licensed in Florida (ME164143) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and maintains a secondary practice location in Yuma.

NPPES Registry Identity

NPI1316049257

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameATUL KUMARCredential: M.D., MBA

Location Address5151 N 9TH AVEPensacola, FL 32504-8721

Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091

Phone(850) 416-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateSeptember 1, 2006

Last NPPES UpdateAugust 8, 20257 updates tracked since enumeration

NPPES CertifiedAugust 8, 2025

✔ NPI 1316049257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in FL · ME164143

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.

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 77485 (AZ)

5151 N 9TH AVE, Pensacola, FL 32504

Open in Google Maps ↗

Secondary Practice Location 1

Location 12375 S Ridgeview DrYuma, AZ 85364-8868 · Phone (928) 317-2518

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Avera Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Atul Kumar M.d., Mba 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 ID3072790831

PECOS Enrollment IDI20211004002098, I20250409000046

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

Medicare enrollment records show Atul Kumar reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sacred Heart Health System, Inc.

0.1 mi

Primary Care

5225 CARMEL HEIGHTS DR
Pensacola, FL 32504

Reassigned Medicare billing, Florida enrollment
446 clinicians in this Medicare group

NPI 1043261498 (850) 475-4500

Piedmont Specialty Hospital Billing LLC

318 mi

Internal Medicine

1266 HIGHWAY 515 S
Jasper, GA 30143

Reassigned Medicare billing, Georgia enrollment
317 clinicians in this Medicare group

NPI 1699290510 (770) 801-2500

Piedmont Providers LLC

318 mi

Internal Medicine

220 J L WHITE DR STE 120
Jasper, GA 30143

Reassigned Medicare billing, Georgia enrollment
689 clinicians in this Medicare group

NPI 1548273592 (770) 801-2500

University Of Florida Jacksonville Physicians Inc

331 mi

Nephrology

655 W 8TH ST, UFJP NEPHROLOGY
Jacksonville, FL 32209

Reassigned Medicare billing, Florida enrollment
1,456 clinicians in this Medicare group

NPI 1295995561 (904) 244-3660

Trihealth H LLC

616 mi

Obstetrics

375 DIXMYTH AVE
Cincinnati, OH 45220

Reassigned Medicare billing, Ohio enrollment
1,102 clinicians in this Medicare group

NPI 1811215742 (513) 862-3452

Trihealth G LLC

616 mi

Internal Medicine

379 DIXMYTH AVE
Cincinnati, OH 45220

Reassigned Medicare billing, Ohio enrollment
1,126 clinicians in this Medicare group

NPI 1295862944 (513) 246-7000

Adena Medical Group LLC

660 mi

Family Medicine

272 HOSPITAL RD
Chillicothe, OH 45601

Reassigned Medicare billing, Ohio enrollment
763 clinicians in this Medicare group

NPI 1235468083 (740) 779-7500

Partners Physician Group

790 mi

Family Medicine

323 HIGH ST
Wadsworth, OH 44281

Reassigned Medicare billing, Ohio enrollment
661 clinicians in this Medicare group

NPI 1316013550 (330) 336-3583

Trinity Regional Medical Center

904 mi

End-Stage Renal Disease (ESRD) Treatment

1610 COLLINS ST, SUITE D
Webster City, IA 50595

Reassigned Medicare billing, Iowa enrollment
387 clinicians in this Medicare group

NPI 1568650174 (515) 832-1667

Monument Health Rapid City Hospital, Inc.

1,243 mi

Family Medicine

112 7TH AVENUE
Wall, SD 57790

Reassigned Medicare billing, South Dakota enrollment
831 clinicians in this Medicare group

NPI 1265811285 (605) 279-2149

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 10

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.

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

22 services22 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

21 services21 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

21 services18 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

20 services19 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.

19 services16 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259

This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100001

Location655 W 8th StJacksonville, FL 32209 · Duval County

Emergency services Birthing friendly

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360159

Location272 Hospital RoadChillicothe, OH 45601 · Ross County

Emergency services Birthing friendly

Cjw Medical Center

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number490112

Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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.

MRS. VICTORIA LC GRISE ARNP

Nurse Practitioner (Family)

5151 N 9TH AVE, STE 200
PENSACOLA, FL 32504

Escambia County (850) 416-4970

MRS. JEAN MARIE HOUY ARNP

Nurse Practitioner (Neonatal)

5151 N 9TH AVE
PENSACOLA, FL 32504

Escambia County (850) 416-4501

PRASHANTH SHANMUGHAM M.D.

Pediatrics (Pediatric Critical Care Medicine)

5151 N 9TH AVE
PENSACOLA, FL 32504

Escambia County (850) 416-4970

GARY D WRIGHT MD

Emergency Medicine

5151 N 9TH AVE, ER
PENSACOLA, FL 32504

Escambia County (850) 416-7000

DANIELLE TUCK PHARMD

Clinical Pharmacology

5151 N 9TH AVE
PENSACOLA, FL 32504

Escambia County (580) 416-4565

CAROLINE HUNTER OLDWEILER DO

Student in an Organized Health Care Education/Training Program

5151 N 9TH AVE
PENSACOLA, FL 32504

Escambia County (850) 416-1186

DR. RICHARD SLEVINSKI MD

Emergency Medicine

5151 N 9TH AVE
PENSACOLA, FL 32504

Escambia County (850) 416-6670

SUMMER DUPREE WINTERS

Physician Assistant

5151 N 9TH AVE
PENSACOLA, FL 32504

Escambia County (850) 416-7000

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 Atul Kumar's NPI number?

The NPI number for Atul Kumar is 1316049257. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Atul Kumar located?

Atul Kumar practices at 5151 N 9th Ave, Pensacola, FL 32504. The listed phone number is (850) 416-7000.

What is Atul Kumar's specialty?

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

Is Atul Kumar enrolled in Medicare?

Yes. Atul 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.

Which organizations bill Medicare for Atul Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Atul Kumar reassigns Medicare benefits to 10 organizations: Sacred Heart Health System, Inc. (Pensacola, FL), Piedmont Specialty Hospital Billing LLC (Jasper, GA), Piedmont Providers LLC (Jasper, GA), University Of Florida Jacksonville Physicians Inc (Jacksonville, FL), Trihealth H LLC (Cincinnati, OH) and 5 more organizations, listed in the Medicare section above. 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 Atul Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Atul Kumar accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed, Avera Health Plans and CareSource and 7 other insurers list Atul 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.

Is Atul Kumar affiliated with any hospitals?

According to CMS data, Atul Kumar is affiliated with Shands Jacksonville, Adena Regional Medical Center and Cjw Medical Center.

When was this NPI record last updated?

The NPPES record for Atul Kumar was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.