AJITH G KUMAR M.D.
NPI 1386611267
Internal Medicine - Cardiovascular Disease in Newark, DE

Active since March 01, 2006PECOS Enrolled
80.65/100
CMS Quality Rating
252 CHAPMAN RD, SUITE 150, NEWARK, DE 19702(302) 366-1929(302) 366-1075 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ajith G Kumar M.d. NPPES

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

AJITH G KUMAR M.D. (NPI 1386611267) is an individual cardiovascular disease provider in Newark, Delaware, licensed in Delaware (C10005712) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386611267
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameAJITH G KUMARCredential: M.D.
Location Address252 CHAPMAN RD, SUITE 150Newark, DE 19702-5438
Mailing Address252 Chapman Rd Ste 150Newark, DE 19702-5438 · (302) 366-1929 · Fax (302) 366-1075
Fax(302) 366-1075
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1986
Enumeration DateMarch 1, 2006
Last NPPES UpdateDecember 22, 2025
NPPES CertifiedDecember 22, 2025
NPI 1386611267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in DE · C10005712
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.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License C10005712 (DE)
252 CHAPMAN RD, Newark, DE 19702

Secondary Practice Locations 2

Location 1424 Savannah RdLewes, DE 19958-1462 · Phone (302) 645-1233 · Fax (302) 645-1228
Location 219161 Healthy WayRehoboth Beach, DE 19971-4491 · Phone (302) 645-1233 · Fax (302) 645-1228

Other Identifiers 1

Medicaid1386611267DE

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ajith G Kumar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810939360
PECOS Enrollment IDI20051108000927
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 43

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.

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.
1,310 services999 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.
876 services711 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.
726 services632 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
585 services147 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
501 services46 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
401 services397 patients

Hospital Affiliations CMS Care Compare

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19702 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

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.

80.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.01
Improvement Activities40
Cost70.15

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
252 CHAPMAN RD
NEWARK, DE 19702
Internal Medicine (Cardiovascular Disease)
252 CHAPMAN RD, SUITE 150
NEWARK, DE 19702
Nurse Practitioner (Adult Health)
252 CHAPMAN RD, SUITE 150
NEWARK, DE 19702
Nurse Practitioner (Family)
252 CHAPMAN RD, SUITE 150
NEWARK, DE 19702
Nurse Practitioner
252 CHAPMAN RD, SUITE 150
NEWARK, DE 19702
Internal Medicine (Cardiovascular Disease)
252 CHAPMAN RD, SUITE 150
NEWARK, DE 19702
Internal Medicine (Cardiovascular Disease)
252 CHAPMAN RD, SUITE 150
NEWARK, DE 19702
Internal Medicine (Interventional Cardiology)
252 CHAPMAN RD, SUITE 150
NEWARK, DE 19702

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 Ajith Kumar's NPI number?

The NPI number for Ajith Kumar is 1386611267. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Ajith Kumar located?

Ajith Kumar practices at 252 Chapman Rd Suite 150, Newark, DE 19702. The listed phone number is (302) 366-1929.

What is Ajith Kumar's specialty?

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

Is Ajith Kumar enrolled in Medicare?

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

What insurance does Ajith Kumar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Ajith 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 Ajith Kumar affiliated with any hospitals?

According to CMS data, Ajith Kumar is affiliated with Tidalhealth Peninsula Regional, Inc.

When was this NPI record last updated?

The NPPES record for Ajith Kumar was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.