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AMITABH KUMAR M.D.
NPI 1346215712
Internal Medicine - Gastroenterology in Stuart, FL

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
1050 SE MONTEREY RD, SUITE 204, STUART, FL 34994(772) 781-5960(772) 419-0190 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2025, Nov 7, 2025, Sep 4, 2025 and 1 more (4 updates tracked since 2025).

About Amitabh Kumar M.d. NPPES

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

AMITABH KUMAR M.D. (NPI 1346215712) is an individual gastroenterology provider in Stuart, Florida, licensed in Florida (ME0070846) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and maintains a secondary practice location in Hannibal.

NPPES Registry Identity

NPI1346215712
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameAMITABH KUMARCredential: M.D.
Location Address1050 SE MONTEREY RD, SUITE 204Stuart, FL 34994-4512
Mailing Address1050 Se Monterey Rd Ste 204Stuart, FL 34994-4512 · (772) 781-5960 · Fax (772) 419-0190
Phone(772) 781-5960
Fax(772) 419-0190
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1991
Enumeration DateFebruary 21, 2006
Last NPPES UpdateNovember 11, 20254 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1346215712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in FL · ME0070846✔ Licensed in GA · 81907✔ Licensed in MN · 80873✔ Licensed in MO · 2025027043
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.

1050 SE MONTEREY RD, Stuart, FL 34994
Open in Google Maps ↗

Secondary Practice Location 1

Location 16000 Hospital DrHannibal, MO 63401-6887 · Phone (573) 248-1300 · Fax (573) 248-5264

Other Identifiers 1

Medicaid258389500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Amitabh Kumar M.d. 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 ID5496742629
PECOS Enrollment IDI20110124001196, I20181215000011, I20250828003463, I20251120004279
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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
174 services173 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
102 services101 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
75 services75 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.
52 services52 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.
32 services32 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
32 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240093
Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County
Emergency services Birthing friendly

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260025
Location6000 Hospital DrHannibal, MO 63401 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34994 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
2%714 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
22%894 patients1/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,498 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
74%125 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
25%56 patients2/55-star benchmark: 100%
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…
26%1,409 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
3%692 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%56 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.

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.

TARA ANN COBB PA-C
Physician Assistant (Surgical)
1050 SE MONTEREY RD, SUITE 400
STUART, FL 34994
Martin County (772) 288-2400
LOUIS MARTIN LIMA O.D.
Optometrist
1050 SE MONTEREY RD, #104
STUART, FL 34994
Martin County (772) 282-2020
DR. ERIN SHAW M.D.
Family Medicine
1050 SE MONTEREY RD, 201
STUART, FL 34994
Martin County (772) 678-7043
DR. ANUJ PRASHER MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1050 SE MONTEREY RD, SUITE 400
STUART, FL 34994
Martin County (772) 288-2400
FLORIDA VISION INSTITUTE INC
Ophthalmology
1050 SE MONTEREY RD, STE 104
STUART, FL 34994
Martin County (772) 283-2020
DR. REBECCA GRUNBAUM BOBO MD
Ophthalmology
1050 SE MONTEREY RD, SUITE 104
STUART, FL 34994
Martin County (772) 283-2020
BRAIN AND SPINE NEUROSUGERY,LLC
Clinic/Center (Ambulatory Surgical)
1050 SE MONTEREY RD, SUITE 102
STUART, FL 34994
Martin County (772) 220-9700
AMANDA KRISTEN GERSCH PA-C
Physician Assistant (Medical)
1050 SE MONTEREY RD, SUITE 101
STUART, FL 34994
Martin County (772) 419-0560

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 Amitabh Kumar's NPI number?

The NPI number for Amitabh Kumar is 1346215712. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Amitabh Kumar located?

Amitabh Kumar practices at 1050 SE Monterey Rd Suite 204, Stuart, FL 34994. The listed phone number is (772) 781-5960.

What is Amitabh Kumar's specialty?

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

Is Amitabh Kumar enrolled in Medicare?

Yes. Amitabh 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 Amitabh Kumar accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Amitabh 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 Amitabh Kumar affiliated with any hospitals?

According to CMS data, Amitabh Kumar is affiliated with Uf Health Shands Hospital, Mayo Clinic Health System - Mankato and Hannibal Regional Hospital.

When was this NPI record last updated?

The NPPES record for Amitabh Kumar was last updated on November 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.