DHIRENDRA KUMAR M.D
NPI 1437326915
Family Medicine in Kingston, PA

Q: What is Dhirendra Kumar's NPI number?

The NPI number for Dhirendra Kumar is 1437326915. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Q: What is Dhirendra Kumar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dhirendra Kumar was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 13, 2008PECOS EnrolledAccepts Medicare Assignment

15.65/100

CMS Quality Rating

2 SHARPE ST, KINGSTON, PA 18704(570) 552-8900 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dhirendra Kumar M.d NPPES

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

DHIRENDRA KUMAR M.D (NPI 1437326915) is an individual family medicine provider in Kingston, Pennsylvania, licensed in Pennsylvania (MT193263) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1437326915

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDHIRENDRA KUMARCredential: M.D

Location Address2 SHARPE STKingston, PA 18704-3715

Mailing Address4018 166th Ave NeRedmond, WA 98052-5400 · (224) 766-9400

Phone(570) 552-8900

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateMay 13, 2008

Last NPPES UpdateDecember 20, 2022

NPPES CertifiedDecember 20, 2022

✔ NPI 1437326915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MT193263

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 SHARPE ST, Kingston, PA 18704

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Dhirendra 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 ID5597939173

PECOS Enrollment IDI20121106000415

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 6

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

5,037 services524 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

544 services489 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

529 services483 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

203 services193 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

105 services104 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

38 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18704 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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.

15.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

52.18

Referred Medical Equipment & Supplies CMS DME claims 24

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

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

1 supplier14 claims335 services$7.10 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

1 supplier13 claims244 services$0.92 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers14 claims433 services$3.87 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

2 suppliers13 claims6,546 services$0.27 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

4 suppliers16 claims16 services$42.67 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers28 claims28 services$40.67 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers15 claims15 services$15.08 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

1 supplier12 claims12 services$4.44 avg. paid by Medicare

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955

DME-Wheelchairs · category DD021N

2 suppliers28 claims28 services$13.42 avg. paid by Medicare

Manual wheelchair accessory, wheel lock brake extension (handle), each E0961

DME-Wheelchairs · category DD021N

3 suppliers32 claims64 services$17.42 avg. paid by Medicare

Manual wheelchair accessory, anti-tipping device, each E0971

DME-Wheelchairs · category DD021N

4 suppliers33 claims66 services$25.55 avg. paid by Medicare

Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973

DME-Wheelchairs · category DD021N

3 suppliers25 claims50 services$45.91 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

2 suppliers28 claims33 services$13.60 avg. paid by Medicare

Manual adult size wheelchair, includes tilt in space E1161

DME-Wheelchairs · category DD000N

2 suppliers28 claims28 services$176.17 avg. paid by Medicare

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 suppliers36 claims36 services$67.18 avg. paid by Medicare

Wheelchair accessory, cylinder tank carrier, each E2208

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$6.65 avg. paid by Medicare

General use wheelchair seat cushion, width less than 22 inches, any depth E2601

DME-Wheelchairs · category DD021N

4 suppliers47 claims47 services$33.50 avg. paid by Medicare

General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware E2611

DME-Wheelchairs · category DD021N

4 suppliers19 claims19 services$147.33 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers88 claims88 services$15.44 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

2 suppliers89 claims89 services$25.45 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

5 suppliers204 claims204 services$26.61 avg. paid by Medicare

Heavy duty wheelchair K0006

DME-Wheelchairs · category DD000N

2 suppliers19 claims19 services$54.10 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

3 suppliers54 claims54 services$7.45 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

1 supplier17 claims17 services$32.36 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 8

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

VIJAY KISHORE PRASAD MD

Pediatrics

2 SHARPE ST
KINGSTON, PA 18704

Luzerne County (570) 491-0126

UNITED HEALTH AND HOSPITAL SERVICES, INC.

Family Medicine

2 SHARPE ST
KINGSTON, PA 18704

Luzerne County (570) 552-8900

NAMRATA SINGHANIA M.D.

Family Medicine

2 SHARPE ST
KINGSTON, PA 18704

Luzerne County (570) 552-8966

WILKES-BARRE ACADEMIC MEDICINE LLC

Family Medicine

2 SHARPE ST
KINGSTON, PA 18704

Luzerne County (570) 552-8900

THOMAS M CAMPBELL MD

Neuromusculoskeletal Medicine & OMM

2 SHARPE ST
KINGSTON, PA 18704

Luzerne County (570) 552-8900

NAGINA FARIDA M.D

Family Medicine (Adolescent Medicine)

2 SHARPE ST
KINGSTON, PA 18704

Luzerne County (570) 552-8956

ATMA PRAKASH NAYAK MD

Family Medicine

2 SHARPE ST
KINGSTON, PA 18704

Luzerne County (570) 991-8810

MRS. STEPHANIE ANN TANONA FNP-C

Nurse Practitioner (Primary Care)

2 SHARPE ST
KINGSTON, PA 18704

Luzerne County (570) 491-0126

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 Dhirendra Kumar's NPI number?

The NPI number for Dhirendra Kumar is 1437326915. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is Dhirendra Kumar located?

Dhirendra Kumar practices at 2 Sharpe St, Kingston, PA 18704. The listed phone number is (570) 552-8900.

What is Dhirendra Kumar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dhirendra Kumar enrolled in Medicare?

Yes. Dhirendra 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.

What insurance does Dhirendra Kumar accept?

Health plans from Anthem Blue Cross and Blue Shield, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Dhirendra 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.

When was this NPI record last updated?

The NPPES record for Dhirendra Kumar was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.