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SHYANIE KUMAR M.D.
NPI 1396120804
Surgery in Lexington, KY

Active since July 26, 2015PECOS EnrolledAccepts Medicare Assignment
97.57/100
CMS Quality Rating
UNIVERSITY OF KENTUCKY, 800 ROSE STREET C-246, LEXINGTON, KY 40536(859) 323-6162(859) 257-8934 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shyanie Kumar M.d. NPPES

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

SHYANIE KUMAR M.D. (NPI 1396120804) is an individual surgery provider in Lexington, Kentucky, licensed in Kentucky (TP253) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2015).

NPPES Registry Identity

NPI1396120804
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSHYANIE KUMARCredential: M.D.
Location AddressUNIVERSITY OF KENTUCKY, 800 ROSE STREET C-246Lexington, KY 40536-0293
Mailing AddressUniversity Of Kentucky, 800 Rose StreetLexington, KY 40536-0293
Phone(859) 323-6162
Fax(859) 257-8934
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2015
Enumeration DateJuly 26, 2015
Last NPPES UpdateJune 16, 2020
NPPES CertifiedJune 16, 2020
✔ NPI 1396120804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in KY · TP253✔ Licensed in KY · 3828
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
UNIVERSITY OF KENTUCKY, Lexington, KY 40536
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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

Shyanie 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 ID3476841495
PECOS Enrollment IDI20210827000698
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 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.

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.
154 services112 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.
70 services69 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
53 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
33 services32 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

97.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.39
Promoting Interoperability99
Improvement Activities40
Cost99.36

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers18 claims18 services$77.08 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
3 suppliers12 claims12 services$34.98 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.

INDU ELIZABETH MATHEW MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-1786
DR. MEGAN HOFMEISTER M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 218-2100
DR. JEREMIAH PHELPS MD PHD
Emergency Medicine
UNIVERSITY OF KENTUCKY, 800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6762
ASHLEY ROLLINS MD
Internal Medicine
UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-2636
DR. JANELLE LOUISE REED M.D./PH.D
Emergency Medicine
UNIVERSITY OF KENTUCKY, 800 ROSE ST.
LEXINGTON, KY 40536
Fayette County (859) 323-5083
DR. PAUL JAMES SPICER MD
Radiology (Diagnostic Radiology)
UNIVERSITY OF KENTUCKY, 800 ROSE STREET, HX-311
LEXINGTON, KY 40536
Fayette County (859) 323-8570
ANTHONY ZACHARIAS
Orthopaedic Surgery
UNIVERSITY OF KENTUCKY, 800 ROSE ST.
LEXINGTON, KY 40536
Fayette County (859) 218-3044
LAURA H REYNOLDS M.D.
Psychiatry & Neurology (Psychiatry)
UNIVERSITY OF KENTUCKY, 800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6021

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 Shyanie Kumar's NPI number?

The NPI number for Shyanie Kumar is 1396120804. It was assigned to this individual provider in the NPPES registry on July 26, 2015.

Where is Shyanie Kumar located?

Shyanie Kumar practices at University Of Kentucky 800 Rose Street C-246, Lexington, KY 40536. The listed phone number is (859) 323-6162.

What is Shyanie Kumar's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Shyanie Kumar enrolled in Medicare?

Yes. Shyanie 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.

When was this NPI record last updated?

The NPPES record for Shyanie Kumar was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.