DR. ABHISHEK KUMAR M.D.
NPI 1427463058
Psychiatry & Neurology - Neurology in Newark, DE
About Dr. Abhishek Kumar M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ABHISHEK KUMAR M.D. (NPI 1427463058) is an individual neurology provider in Newark, Delaware, licensed in New York (281499) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with The University Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted 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. Abhishek 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.
Medicare Billing Reassignments
9Medicare enrollment records show Abhishek Kumar reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, DE 19713
- Reassigned Medicare billing, Delaware enrollment
- 85 clinicians in this Medicare group
Linwood, NJ 08221
- Reassigned Medicare billing, New Jersey enrollment
- 3 clinicians in this Medicare group
Elizabeth, NJ 07201
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Garden State Cardiovascular Specialists PC
- 31 clinicians in this Medicare group
Newark, NJ 07103
- Reassigned Medicare billing, New Jersey enrollment
- 72 clinicians in this Medicare group
Brooklyn, NY 11235
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Doctor's Medical PC
- 23 clinicians in this Medicare group
Englewood Cliffs, NJ 07632
- Reassigned Medicare billing, New Jersey enrollment
- 155 clinicians in this Medicare group
Tenafly, NJ 07670
- Reassigned Medicare billing, New Jersey enrollment
- 3 clinicians in this Medicare group
Tenafly, NJ 07670
- Reassigned Medicare billing, New Jersey enrollment
- 3 clinicians in this Medicare group
Douglaston, NY 11362
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The University Hospital
Acute Care Hospitals · Newark, NJPhysician 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, DE 19702
NEWARK, DE 19702
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 Abhishek Kumar's NPI number?
The NPI number for Abhishek Kumar is 1427463058. It was assigned to this individual provider in the NPPES registry on June 23, 2014.
Where is Abhishek Kumar located?
Abhishek Kumar practices at 211 Executive Dr Ste 11, Newark, DE 19702. The listed phone number is (302) 731-2888.
What is Abhishek Kumar's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Abhishek Kumar enrolled in Medicare?
Yes. Abhishek 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 Abhishek Kumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abhishek Kumar reassigns Medicare benefits to 9 organizations: First State Orthopaedics PA (Newark, DE), Mainland Pain Management Associates LLC (Linwood, NJ), Garden State Cardiovascular Specialists P.C (Elizabeth, NJ), University Physician Associates Of New Jersey, Inc. (Newark, NJ), Doctor's Medical P.C (Brooklyn, NY) and 4 more organizations, listed in the Medicare section above. 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 Abhishek Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abhishek Kumar accept?
Health plans from Oscar Health list Abhishek 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 Abhishek Kumar affiliated with any hospitals?
According to CMS data, Abhishek Kumar is affiliated with The University Hospital.
When was this NPI record last updated?
The NPPES record for Abhishek Kumar was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.
# Dr. Abhishek Kumar, M.D. · NPI 1427463058
Neurology physician in Newark, Delaware. Individual provider, active in the CMS NPPES registry since June 23, 2014.
## Identity
- **NPI:** 1427463058 (Entity type: Individual)
- **Enumerated:** June 23, 2014
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 281499 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 211 EXECUTIVE DR STE 11, Newark, DE 19702-3358
- **Phone:** (302) 731-2888 · **Fax:** (302) 731-7049
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): First State Orthopaedics PA (NPI 1316294218, Newark, DE); Mainland Pain Management Associates LLC (NPI 1942918230, Linwood, NJ); Garden State Cardiovascular Specialists P.C (NPI 1225059660, Elizabeth, NJ); University Physician Associates Of New Jersey, Inc. (NPI 1558503797, Newark, NJ); Doctor's Medical P.C (NPI 1760670152, Brooklyn, NY); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** October 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1427463058) · Data from the CMS NPPES public registry.