1. Home
  2. Directory
  3. Indiana
  4. Lafayette
  5. Pediatrics
  6. NPI Profile

ANIL KUMAR MD
NPI 1356326243
Pediatrics - Pediatric Cardiology in Lafayette, IN

Active since December 13, 2005PECOS Enrolled
3920 ST FRANCIS WAY STE 219, LAFAYETTE, IN 47905(833) 890-5176(765) 428-5896 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2026, Jul 18, 2022, Jan 10, 2018 (3 updates tracked since 2018).

About Anil Kumar Md NPPES

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

ANIL KUMAR MD (NPI 1356326243) is an individual pediatric cardiology provider in Lafayette, Indiana, licensed in Indiana (01052575A) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1356326243
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameANIL KUMARCredential: MD
Location Address3920 ST FRANCIS WAY STE 219Lafayette, IN 47905-4917
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Phone(833) 890-5176
Fax(765) 428-5896
Sole ProprietorNo
Enumeration DateDecember 13, 2005
Last NPPES UpdateAugust 3, 20263 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1356326243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in IN · 01052575A
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 01052575A (IN)
3920 ST FRANCIS WAY STE 219, Lafayette, IN 47905
Open in Google Maps ↗

Secondary Practice Location 1

Location 18333 Naab Rd Ste 320Indianapolis, IN 46260-1983 · Phone (317) 338-3000

Other Identifiers 1

Medicaid200291790IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

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

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

St. Vincent Medical Group, Inc.
46 mi
Internal Medicine
13420 N MERIDIAN ST STE 300
Carmel, IN 46032
  • Reassigned Medicare billing, Indiana enrollment
  • 945 clinicians in this Medicare group
NPI 1316685191 (317) 582-8600
St Vincent Physician Services Hospital And Health Care Center
47 mi
Family Medicine
2001 W 86TH ST
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 510 clinicians in this Medicare group
NPI 1669422234 (317) 338-2273
Franciscan Physician Network
65 mi
Family Medicine
8111 S EMERSON AVE
Indianapolis, IN 46237
  • Reassigned Medicare billing, Indiana enrollment
  • 1,396 clinicians in this Medicare group
NPI 1225327984 (317) 528-4800

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

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

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
43%46 patients
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%199 patients4/55-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.
34%755 patients2/55-star benchmark: 97%
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…
74%755 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
37%755 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
37%755 patients
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 2

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

SAIF ALJEMMALI M.D.
Pediatrics (Pediatric Cardiology)
3920 ST FRANCIS WAY STE 219
LAFAYETTE, IN 47905
Tippecanoe County (833) 890-5176
SANJAY RAJNIKANT PARIKH MD
Pediatrics (Pediatric Cardiology)
3920 ST FRANCIS WAY STE 219
LAFAYETTE, IN 47905
Tippecanoe County (833) 890-5176

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 Anil Kumar's NPI number?

The NPI number for Anil Kumar is 1356326243. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Anil Kumar located?

Anil Kumar practices at 3920 St Francis Way Ste 219, Lafayette, IN 47905. The listed phone number is (833) 890-5176.

What is Anil Kumar's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Anil Kumar enrolled in Medicare?

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

Which organizations bill Medicare for Anil Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anil Kumar reassigns Medicare benefits to 3 organizations: St. Vincent Medical Group, Inc. (Carmel, IN), St Vincent Physician Services Hospital And Health Care Center (Indianapolis, IN) and Franciscan Physician Network (Indianapolis, IN). 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 Anil Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anil Kumar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Anil 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 Anil Kumar was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.