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KUNAL KUMAR
NPI 1437418068
Internal Medicine - Sleep Medicine in Philadelphia, PA

Active since May 16, 2012PECOS Enrolled
5401 OLD YORK RD STE 300, PHILADELPHIA, PA 19141(215) 456-6950(215) 456-1766 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kunal Kumar NPPES

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

KUNAL KUMAR (NPI 1437418068) is an individual sleep medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD472730) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437418068
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameKUNAL KUMAR
Location Address5401 OLD YORK RD STE 300Philadelphia, PA 19141-3045
Mailing Address101 E Olney Ave Ste 400Philadelphia, PA 19120-2470 · (215) 456-7000 · Fax (215) 456-5926
Phone(215) 456-6950
Fax(215) 456-1766
Sole ProprietorNo
Enumeration DateMay 16, 2012
Last NPPES UpdateMay 18, 2021
NPPES CertifiedMay 18, 2021
✔ NPI 1437418068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in PA · MD472730
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5401 OLD YORK RD STE 300, Philadelphia, PA 19141
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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)

Kunal Kumar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services35 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.
34 services34 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.
25 services25 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
19 services19 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
13 services13 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers54 claims54 services$31.28 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers28 claims28 services$72.06 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers23 claims55 services$28.46 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers41 claims150 services$14.04 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers45 claims45 services$43.72 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers48 claims48 services$14.38 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 7

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

JOYCE EPELBOIM FELDMAN MD
Internal Medicine (Sleep Medicine)
5401 OLD YORK RD STE 300
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6950
REBECCA ELIZABETH NEITHEIMER DNP
Nurse Practitioner (Primary Care)
5401 OLD YORK RD STE 300
PHILA, PA 19141
Philadelphia County (215) 456-3693
MUDITA PATEL DO
Internal Medicine (Infectious Disease)
5401 OLD YORK RD STE 300
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6948
DR. RODNEY M. ELKIN M.D.
Internal Medicine
5401 OLD YORK RD STE 300
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8608
MARGARET SHOTZBARGER CRNP
Nurse Practitioner (Acute Care)
5401 OLD YORK RD STE 300
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6950
EINSTEIN PRACTICE PLAN INC
Internal Medicine (Sleep Medicine)
5401 OLD YORK RD STE 300
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6950
DR. BHAVNA SHARMA M.D
Internal Medicine (Pulmonary Disease)
5401 OLD YORK RD STE 300
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6950

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 Kunal Kumar's NPI number?

The NPI number for Kunal Kumar is 1437418068. It was assigned to this individual provider in the NPPES registry on May 16, 2012.

Where is Kunal Kumar located?

Kunal Kumar practices at 5401 Old York Rd Ste 300, Philadelphia, PA 19141. The listed phone number is (215) 456-6950.

What is Kunal Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Kunal Kumar enrolled in Medicare?

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

What insurance does Kunal Kumar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Highmark Blue Cross Blue Shield Delaware list Kunal 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 Kunal Kumar was last updated on May 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.