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SUDHIR CHANDRAMOHAN KUMAR MD
NPI 1417931700
Internal Medicine - Infectious Disease in Des Moines, IA

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
1221 PLEASANT ST, SUITE 300, DES MOINES, IA 50309(515) 241-4000(515) 282-9806 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sudhir Chandramohan Kumar Md NPPES

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

SUDHIR CHANDRAMOHAN KUMAR MD (NPI 1417931700) is an individual infectious disease provider in Des Moines, Iowa, licensed in Iowa (34520) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1417931700
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameSUDHIR CHANDRAMOHAN KUMARCredential: MD
Location Address1221 PLEASANT ST, SUITE 300Des Moines, IA 50309-1423
Mailing Address1221 Pleasant St, Suite 300Des Moines, IA 50309-1423 · (515) 241-4200 · Fax (515) 241-4048
Phone(515) 241-4000
Fax(515) 282-9806
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateDecember 1, 2005
Last NPPES UpdateMay 22, 2012
✔ NPI 1417931700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in IA · 34520
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 44565 (MN)
1221 PLEASANT ST, Des Moines, IA 50309
Open in Google Maps ↗

Other Identifiers 18

Medicare ID-Type Unspecified087M8KUMN · Bcbs Medicare Supplement
Medicaid142196MN
Medicaid1417931700IA
OtherA060MN · Champus
Medicare NSC110009901MN
Medicare ID-Type Unspecified110009901MN
Medicare ID-Type UnspecifiedP00198724MN · Railroad Medicare
Medicaid319218100MN
OtherMH9041031102MN · Preferred One
Other7751MN · Avera
Other303919MN · Araz
Medicare UPINH62989MN
Medicare ID-Type Unspecified554022MN
Medicaid087M8KUMN
Other04-05438MN · Medica
Other087M8KUMN · Blue Cross
OtherHP35883MN · Health Partners
Medicare PIN71926075IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..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

Sudhir Chandramohan 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 ID1355305475
PECOS Enrollment IDI20090715000347
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 Reassignment

Medicare enrollment records show Sudhir Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Iowa Hospital Corporation
Same address
Hepatology
1215 PLEASANT ST, SUITE 506
Des Moines, IA 50309
  • Reassigned Medicare billing, Iowa enrollment
  • 545 clinicians in this Medicare group
NPI 1598942872 (515) 241-4044

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 7

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.
203 services98 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.
80 services46 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.
60 services60 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.
50 services49 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
48 services31 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.
39 services26 patients

Hospital Affiliations CMS Care Compare

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

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160082
Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50309 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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.

LEYLA ALEXANDRA BEST BANDENAY M.D.
Internal Medicine (Infectious Disease)
1221 PLEASANT ST, STE 300
DES MOINES, IA 50309
Polk County (515) 241-4200
RICHARD S ROBUS MD
Pediatrics
1221 PLEASANT ST, SUITE 170
DES MOINES, IA 50309
Polk County (515) 241-4300
DR. LISA A VEACH MD
Internal Medicine (Infectious Disease)
1221 PLEASANT ST, SUITE 300
DES MOINES, IA 50309
Polk County (515) 241-4200
JANA L KRAY MSPT
Physical Therapist
1221 PLEASANT ST, SUITE 200
DES MOINES, IA 50309
Polk County (515) 241-4019
MATTHEW L HILL DO
Internal Medicine (Medical Oncology)
1221 PLEASANT ST, STE 100
DES MOINES, IA 50309
Polk County (515) 282-2921
DR. PETER THOMAS READ D.O.
Internal Medicine
1221 PLEASANT ST, SUITE 200
DES MOINES, IA 50309
Polk County (515) 241-4019
ANDREW J STEFANI DO
Internal Medicine
1221 PLEASANT ST, STE 200
DES MOINES, IA 50309
Polk County (515) 241-4019
DR. JON STACY HADE M.D.
Radiology (Diagnostic Radiology)
1221 PLEASANT ST, STE 150
DES MOINES, IA 50309
Polk County (515) 244-5109

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 Sudhir Kumar's NPI number?

The NPI number for Sudhir Kumar is 1417931700. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Sudhir Kumar located?

Sudhir Kumar practices at 1221 Pleasant St Suite 300, Des Moines, IA 50309. The listed phone number is (515) 241-4000.

What is Sudhir Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Sudhir Kumar enrolled in Medicare?

Yes. Sudhir 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 organization bills Medicare for Sudhir Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sudhir Kumar reassigns Medicare benefits to Central Iowa Hospital Corporation (Des Moines, IA). The 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 Sudhir Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sudhir Kumar accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Sudhir 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 Sudhir Kumar affiliated with any hospitals?

According to CMS data, Sudhir Kumar is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi.

When was this NPI record last updated?

The NPPES record for Sudhir Kumar was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.