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DR. AJAY KUMAR MD
NPI 1376831859
Internal Medicine - Hematology & Oncology in Langhorne, PA

Active since July 18, 2011PECOS EnrolledAccepts Medicare Assignment
240 MIDDLETOWN BLVD, SUITE 205, LANGHORNE, PA 19047(215) 752-2424(215) 750-0656 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2021, Oct 28, 2019, Jun 28, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Ajay Kumar Md NPPES

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

DR. AJAY KUMAR MD (NPI 1376831859) is an individual hematology & oncology provider in Langhorne, Pennsylvania, licensed in Pennsylvania (MD460949) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1376831859
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. AJAY KUMARCredential: MD
Location Address240 MIDDLETOWN BLVD, SUITE 205Langhorne, PA 19047-1832
Mailing Address240 Middletown Blvd, Suite 205Langhorne, PA 19047-1832 · (215) 752-2424 · Fax (215) 750-0656
Phone(215) 752-2424
Fax(215) 750-0656
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 18, 2011
Last NPPES UpdateNovember 1, 20214 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
✔ NPI 1376831859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in PA · MD460949
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
240 MIDDLETOWN BLVD, Langhorne, PA 19047
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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. Ajay 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 ID4981920451
PECOS Enrollment IDI20170720000232
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 10

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 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.
319 services152 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
154 services72 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.
127 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.
85 services58 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
76 services24 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.
58 services54 patients

Hospital Affiliations CMS Care Compare 3

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

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19047 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier12 claims12 services$18.28 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims13 services$35.57 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
1 supplier13 claims112 services$1.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

GODWIN PLASTIC SURGERY CENTER LLC
Surgery (Plastic and Reconstructive Surgery)
240 MIDDLETOWN BLVD, SUITE 101D
LANGHORNE, PA 19047
Bucks County (215) 750-6010
MS. CHRISTINE LOUISE HOOPER CRNP
Nurse Practitioner (Adult Health)
240 MIDDLETOWN BLVD, SUITE 200
LANGHORNE, PA 19047
Bucks County (215) 757-5772
DR. GREGORY P ZOLLNER M.D.
Internal Medicine (Nephrology)
240 MIDDLETOWN BLVD, STE 200
LANGHORNE, PA 19047
Bucks County (215) 757-5772
SUBURBAN ORTHOPAEDICS PC
Orthopaedic Surgery
240 MIDDLETOWN BLVD, SUITE 101D
LANGHORNE, PA 19047
Bucks County (215) 750-6700
AHMED & PATEL LLC
Dentist
240 MIDDLETOWN BLVD, SUITE 104
LANGHORNE, PA 19047
Bucks County (215) 750-2220
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
240 MIDDLETOWN BLVD
LANGHORNE, PA 19047
Bucks County (267) 572-2122
SHALINI RAO BARLAPUDI M.D.
Internal Medicine
240 MIDDLETOWN BLVD, SUITE # 200
LANGHORNE, PA 19047
Bucks County (215) 757-5772
NORTHAMPTON NEUROLOGY, P.C.
Psychiatry & Neurology (Neurology)
240 MIDDLETOWN BLVD
LANGHORNE, PA 19047
Bucks County (215) 752-2200

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 Ajay Kumar's NPI number?

The NPI number for Ajay Kumar is 1376831859. It was assigned to this individual provider in the NPPES registry on July 18, 2011.

Where is Ajay Kumar located?

Ajay Kumar practices at 240 Middletown Blvd Suite 205, Langhorne, PA 19047. The listed phone number is (215) 752-2424.

What is Ajay Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ajay Kumar enrolled in Medicare?

Yes. Ajay 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.

Is Ajay Kumar affiliated with any hospitals?

According to CMS data, Ajay Kumar is affiliated with Bryn Mawr Hospital, Paoli Hospital and Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Ajay Kumar was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.