RAJAT KUMAR M.D.
NPI 1356541320
Psychiatry & Neurology - Neurology in Plainsboro, NJ

Q: What is Rajat Kumar's NPI number?

The NPI number for Rajat Kumar is 1356541320. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Q: What is Rajat Kumar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Rajat Kumar was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 July 19, 2007PECOS EnrolledAccepts Medicare Assignment

75.8/100

CMS Quality Rating

1 PLAINSBORO ROAD, PLAINSBORO, NJ 08536(774) 287-0539 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2025, Jun 19, 2025, Jun 11, 2025 and 8 more (11 updates tracked since 2021).

On this page

About Rajat Kumar M.d. NPPES

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

RAJAT KUMAR M.D. (NPI 1356541320) is an individual neurology provider in Plainsboro, New Jersey, licensed in New Jersey (25MA08923500) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1356541320

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameRAJAT KUMARCredential: M.D.

Location Address1 PLAINSBORO ROADPlainsboro, NJ 08536-1913

Mailing Address1 Plainsboro RdPlainsboro, NJ 08536-1913 · (774) 287-0539

Phone(774) 287-0539

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 19, 2007

Last NPPES UpdateSeptember 10, 202511 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1356541320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in NJ · 25MA08923500✔ Licensed in MO · 2016036713✔ Licensed in WA · MD70005369✔ Licensed in VA · 0101269735✔ Licensed in GA · 77639✔ Licensed in FL · ME130246✔ Licensed in NC · 2016-02190✔ Licensed in TN · 51987✔ Licensed in IN · 01074654A

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X · License 2016-02190 (NC)

1 PLAINSBORO ROAD, Plainsboro, NJ 08536

Open in Google Maps ↗

Other Identifiers 1

Medicaid1356541320MO

Accepted Insurance

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

Rajat 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 ID8921276429

PECOS Enrollment IDI20110728000439, I20230630001173, I20240507001248, I20241223000304, I20250121000086, I20250228002241, I20250424002467

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 3

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.

91 services52 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.

43 services41 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.

17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260040

Location3801 South National AvenueSpringfield, MO 65807 · Greene County

Emergency services Birthing friendly

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260137

Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County

Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number310052

Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County

Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310073

Location1945 State Route 33Neptune, NJ 07753 · Monmouth County

Emergency services Birthing friendly

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340069

Location3000 New Bern AveRaleigh, NC 27610 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08536 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

75.8/100

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

Scored as part of a group practice

Quality

68.65

Promoting Interoperability

100

Improvement Activities

Cost

50.69

Reported Quality Measures

Documentation of Current Medications in the Medical Record

0%71 patients1/55-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 8

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

BULLAND ZAMAN MD

Family Medicine

1 PLAINSBORO ROAD
PLAINSBORO, NJ 08536

Middlesex County (609) 853-6049

STEPHANIE DOMENICA SMITH PA-C

Physician Assistant

1 PLAINSBORO ROAD
PLAINSBORO, NJ 08536

Middlesex County (732) 780-4995

PRINCETON HEALTHCARE PROVIDER GROUP LLC

Internal Medicine

1 PLAINSBORO ROAD
PLAINSBORO, NJ 08536

Middlesex County (609) 853-7619

CAROLYN C. CALALANG MD

Anesthesiology

1 PLAINSBORO ROAD
PLAINSBORO, NJ 08536

Middlesex County (609) 853-7450

DR. GEORGE NAIEM IBRAHIEM FREG MD

Internal Medicine

1 PLAINSBORO ROAD
PLAINSBORO, NJ 08536

Middlesex County (609) 853-6049

CHAN CHEN MD

Psychiatry & Neurology (Neurology)

1 PLAINSBORO ROAD
PLAINSBORO, NJ 08536

Middlesex County (609) 853-6049

LINDA M. DELAMAR CRNA

Nurse Anesthetist, Certified Registered

1 PLAINSBORO ROAD, UNIVERSITY MEDICAL CENTER OF PRINCETON
PRINCETON, NJ 08536

Middlesex County (609) 853-6500

DR. PAUL M KOSTOULAKOS D.O.

Psychiatry & Neurology (Neurology)

1 PLAINSBORO ROAD
PLAINSBORO, NJ 08536

Middlesex County (732) 300-7606

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 Rajat Kumar's NPI number?

The NPI number for Rajat Kumar is 1356541320. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Rajat Kumar located?

Rajat Kumar practices at 1 Plainsboro Road, Plainsboro, NJ 08536. The listed phone number is (774) 287-0539.

What is Rajat Kumar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Rajat Kumar enrolled in Medicare?

Yes. Rajat 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 Rajat Kumar accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of NC and 4 other insurers list Rajat 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 Rajat Kumar affiliated with any hospitals?

According to CMS data, Rajat Kumar is affiliated with Cox Medical Centers, Freeman Health System - Freeman West, Ocean Medical Center, Jersey Shore University Medical Center and Wakemed, Raleigh Campus.

When was this NPI record last updated?

The NPPES record for Rajat Kumar was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.