DR. SHIV KUMAR MD
NPI 1326076555
Internal Medicine - Nephrology in Portsmouth, NH

Q: What is Shiv Kumar's NPI number?

The NPI number for Shiv Kumar is 1326076555. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Shiv Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Shiv Kumar was last updated on February 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment

90.07/100

CMS Quality Rating

875 GREENLAND RD, BUILDING C-UNIT 10, PORTSMOUTH, NH 03801(603) 422-6719(603) 373-6833 Get Directions Write a Review

NPPES record last updated: February 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Shiv Kumar Md NPPES

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

DR. SHIV KUMAR MD (NPI 1326076555) is an individual nephrology provider in Portsmouth, New Hampshire, licensed in New Hampshire (14351) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1326076555

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. SHIV KUMARCredential: MD

Location Address875 GREENLAND RD, BUILDING C-UNIT 10Portsmouth, NH 03801-4164

Mailing Address875 Greenland Road, Building C-unit 10Portsmouth, NH 03801-4174 · (603) 422-6719 · Fax (603) 373-6833

Phone(603) 422-6719

Fax(603) 373-6833

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJune 28, 2006

Last NPPES UpdateFebruary 8, 2012

✔ NPI 1326076555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NH · 14351

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

875 GREENLAND RD, Portsmouth, NH 03801

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Other Identifiers 3

Medicare ID-Type UnspecifiedBB5538NY

Medicaid01955742NY

Medicare UPING95333NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care 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

Dr. Shiv 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 ID4486639192

PECOS Enrollment IDI20090113000665

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

400 services97 patients

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.

378 services158 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.

341 services215 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

135 services54 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.

114 services94 patients

Dialysis procedure including 1 evaluation 90945

Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.

65 services15 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.

52 services33 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

40 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

40 services40 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

40 services37 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

York Hospital

Acute Care Hospitals · York, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200020

Location15 Hospital DriveYork, ME 03909 · York County

Emergency services Birthing friendly

Frisbie Memorial Hospital

Acute Care Hospitals · Rochester, NH

2/5 CMS rating

OwnershipProprietary

CMS Certification Number300014

Location11 Whitehall RoadRochester, NH 03867 · Strafford County

Emergency services

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300018

Location789 Central AveDover, NH 03820 · Strafford County

Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH

3/5 CMS rating

OwnershipProprietary

CMS Certification Number300029

Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County

Emergency services Birthing friendly

Huggins Hospital

Critical Access Hospitals · Wolfeboro, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number301312

Location240 South Main StreetWolfeboro, NH 03894 · Carroll County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03801 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

$132.09 typical visit price

range $57.75 – $174.26

Typical copayment $33.02 (range $14.43 – $43.56)

Most-billed visit code 99204

Established Patient

$101.54 typical visit price

range $18.70 – $142.15

Typical copayment $25.38 (range $4.67 – $35.53)

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.

90.07/100

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

Scored as part of a group practice

Quality

79.34

Promoting Interoperability

Improvement Activities

Cost

74.25

Reported Quality Measures

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

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%303 patients5/55-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.

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.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers17 claims1,740 services$0.31 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

2 suppliers18 claims18 services$11.47 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

KELLY LUCINDA LEE MA

Counselor (Mental Health)

875 GREENLAND RD
PORTSMOUTH, NH 03801

Rockingham County (603) 717-6488

PETER G ATTENBOROUGH PA-C

Physician Assistant

875 GREENLAND RD, BLG C-4
PORTSMOUTH, NH 03801

Rockingham County (603) 431-5529

DR. SUCHARIT SURESH JOSHI M.D.

Internal Medicine (Nephrology)

875 GREENLAND RD, #C-10
PORTSMOUTH, NH 03801

Rockingham County (603) 436-3433

DR. MICHAEL CASIMIR DANIELSKI M.D.

Internal Medicine (Nephrology)

875 GREENLAND RD, #C-10
PORTSMOUTH, NH 03801

Rockingham County (603) 436-3433

DOUGLAS J BLACK MD LLC

Psychiatry & Neurology (Neurology)

875 GREENLAND RD, SUITE B4
PORTSMOUTH, NH 03801

Rockingham County (603) 427-2577

GATEWAY UROLOGY, P.A.

Urology

875 GREENLAND RD, ORCHARD PARK, BLDG C, SUITE 3
PORTSMOUTH, NH 03801

Rockingham County (603) 436-8601

DR. KATHLEEN MARIE TOIVANEN MD

Obstetrics & Gynecology

875 GREENLAND RD, ORCHARD PARK, SUITE B11
PORTSMOUTH, NH 03801

Rockingham County (603) 436-2667

JEAN C. RYAN M.D.

Obstetrics & Gynecology

875 GREENLAND RD, BUILDING A-1
PORTSMOUTH, NH 03801

Rockingham County (603) 436-1128

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 Shiv Kumar's NPI number?

The NPI number for Shiv Kumar is 1326076555. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Shiv Kumar located?

Shiv Kumar practices at 875 Greenland Rd Building C-Unit 10, Portsmouth, NH 03801. The listed phone number is (603) 422-6719.

What is Shiv Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Shiv Kumar enrolled in Medicare?

Yes. Shiv 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 Shiv Kumar accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Shiv 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 Shiv Kumar affiliated with any hospitals?

According to CMS data, Shiv Kumar is affiliated with York Hospital, Frisbie Memorial Hospital, Wentworth-Douglass Hospital, Portsmouth Regional Hospital and Huggins Hospital.

When was this NPI record last updated?

The NPPES record for Shiv Kumar was last updated on February 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.