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DR. ANIL KUMAR MD
NPI 1366691552
Internal Medicine - Cardiovascular Disease in Prescott Valley, AZ

Active since September 12, 2008PECOS EnrolledAccepts Medicare Assignment
3262 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314(928) 771-4788(928) 771-5712 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 18, 2022, Nov 4, 2016 (2 updates tracked since 2016).

About Dr. Anil Kumar Md NPPES

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

DR. ANIL KUMAR MD (NPI 1366691552) is an individual cardiovascular disease provider in Prescott Valley, Arizona, licensed in Arizona (51970) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and maintains a secondary practice location in Prescott Valley.

NPPES Registry Identity

NPI1366691552
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ANIL KUMARCredential: MD
Location Address3262 N WINDSONG DRPrescott Valley, AZ 86314-2255
Mailing AddressPo Box 10880Prescott, AZ 86304-0880 · (928) 759-5987 · Fax (928) 458-2039
Phone(928) 771-4788
Fax(928) 771-5712
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 12, 2008
Last NPPES UpdateNovember 18, 20222 updates tracked since enumeration
NPPES CertifiedNovember 18, 2022
✔ NPI 1366691552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in AZ · 51970✔ Licensed in AR · E-7540
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3262 N WINDSONG DR, Prescott Valley, AZ 86314
Open in Google Maps ↗

Secondary Practice Location 1

Location 17700 E Florentine Rd, Bldg. B Ste. 206Prescott Valley, AZ 86314-2245 · Phone (928) 442-8117 · Fax (928) 772-8947

Other Identifiers 1

Other51970AZ · Az License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Select Health.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

Dr. Anil 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 ID5698924249
PECOS Enrollment IDI20221221003245, I20260331002373
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

5

Medicare enrollment records show Anil Kumar reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yavapai Community Hospital Association
Same address
General Acute Care Hospital
7700 E FLORENTINE RD
Prescott Valley, AZ 86314
  • Reassigned Medicare billing, Arizona enrollment
  • 83 clinicians in this Medicare group
NPI 1871534487 (928) 445-2700
Pocatello Health Services, LLC
571 mi
General Acute Care Hospital
651 MEMORIAL DR
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 190 clinicians in this Medicare group
NPI 1689802852 (208) 239-2110
Innovative Radiology PA
1,044 mi
Diagnostic Radiology
3310 RICHMOND AVE
Houston, TX 77098
  • Reassigned Medicare billing, Texas enrollment
  • 68 clinicians in this Medicare group
NPI 1568400810 (713) 797-1919
Houston Heart Health PLLC
1,056 mi
Clinical Cardiac Electrophysiology
1140 WESTMONT DR STE 320
Houston, TX 77015
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
NPI 1023891769 (713) 899-0298
Guthrie Medical Group, P.C.
1,996 mi
General Practice
1 GUTHRIE SQ
Sayre, PA 18840
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Guthrie Medical Group PC
  • 7 clinicians in this Medicare group
NPI 1245246644 (570) 888-5858

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 5

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.

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.
133 services82 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.
79 services68 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
38 services36 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
32 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.
31 services31 patients

Hospital Affiliations CMS Care Compare 4

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Guthrie Cortland Regional Medical Center

Acute Care Hospitals · Cortland, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330175
Location134 Homer AvenueCortland, NY 13045 · Cortland County
Emergency services Birthing friendly

Corning Hospital

Acute Care Hospitals · Corning, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330277
Location1 Guthrie DriveCorning, NY 14830 · Steuben County
Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86314 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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 4

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

ALLIANCE HEALTHCARE SERVICES INC
Clinic/Center (Radiology, Mobile)
3262 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 759-5800
YRMC HOSPICE
Hospice Care, Community Based
3262 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 759-5900
YRMC HOME HEALTH SERVICES
Home Health
3262 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 759-5900
LINDSEY HENDERSON OTR/L, CHT
Occupational Therapist
3262 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 925-5943

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 1366691552. It was assigned to this individual provider in the NPPES registry on September 12, 2008.

Where is Anil Kumar located?

Anil Kumar practices at 3262 N Windsong Dr, Prescott Valley, AZ 86314. The listed phone number is (928) 771-4788.

What is Anil Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Anil Kumar enrolled in Medicare?

Yes. Anil 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 Anil Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anil Kumar reassigns Medicare benefits to 5 organizations: Yavapai Community Hospital Association (Prescott Valley, AZ), Pocatello Health Services, LLC (Pocatello, ID), Innovative Radiology PA (Houston, TX), Houston Heart Health PLLC (Houston, TX) and Guthrie Medical Group, P.C. (Sayre, PA). 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 Moda Health Plan, Inc. and Select Health 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.

Is Anil Kumar affiliated with any hospitals?

According to CMS data, Anil Kumar is affiliated with Portneuf Medical Center, Guthrie Cortland Regional Medical Center, Corning Hospital and Robert Packer Hospital.

When was this NPI record last updated?

The NPPES record for Anil Kumar was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.