ANJAN KUMAR M.D.
NPI 1447460142
Internal Medicine - Pulmonary Disease in Oklahoma City, OK

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
5224 E I 240 SERVICE RD STE 303, OKLAHOMA CITY, OK 73135(405) 608-3800(405) 972-7552 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2022, Nov 9, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Anjan Kumar M.d. NPPES

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

ANJAN KUMAR M.D. (NPI 1447460142) is an individual pulmonary disease provider in Oklahoma City, Oklahoma, licensed in Michigan (4301086655) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and maintains a secondary practice location in Saint Clair Shores.

NPPES Registry Identity

NPI1447460142
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameANJAN KUMARCredential: M.D.
Location Address5224 E I 240 SERVICE RD STE 303Oklahoma City, OK 73135-2607
Mailing Address7800 Nw 85th TerOklahoma City, OK 73132-3385
Fax(405) 972-7552
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 23, 2007
Last NPPES UpdateJune 6, 20224 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
NPI 1447460142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MI · 4301086655
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301086655 (MI)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 4301086655 (MI)
5224 E I 240 SERVICE RD STE 303, Oklahoma City, OK 73135

Secondary Practice Location 1

Location 125319 Little Mack AveSaint Clair Shores, MI 48081-3370 · Phone (586) 772-5550 · Fax (586) 772-1706

Other Identifiers 2

Other0502907MI · Blue Cross Blue Shield Pin
Medicaid1447460142MI

Accepted 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

Anjan 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 ID6002931367
PECOS Enrollment IDI20171016002690
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 13

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 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.
955 services617 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
235 services235 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
144 services142 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.
134 services74 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.
132 services70 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
128 services126 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Chickasha, OK
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number370054
Location2220 Iowa StreetChickasha, OK 73018 · Grady County
Emergency services

Oklahoma Heart Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipPhysician
CMS Certification Number370215
Location4050 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services

Oklahoma Heart Hospital South, LLC

Acute Care Hospitals · Oklahoma City, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370234
Location5200 East I-240 Service RoadOklahoma City, OK 73135 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73135 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
0%579 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%402 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
16%202 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
48%512 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%161 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%161 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%3,371 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%1,151 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
32%1,911 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,932 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
14%2,003 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 921 patients
0%921 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%538 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,212 patients
Patients totalRate: 1% · 1,212 patients
1%1,212 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 32

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
19 suppliers369 claims369 services$34.92 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers24 claims48 services$1.21 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
19 suppliers235 claims235 services$80.59 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
21 suppliers221 claims492 services$30.57 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
17 suppliers150 claims752 services$16.72 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
14 suppliers69 claims326 services$13.18 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 13

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

Internal Medicine (Critical Care Medicine)
5224 E I 240 SERVICE RD STE 303
OKLAHOMA CITY, OK 73135
Surgery (Vascular Surgery)
5224 E I 240 SERVICE RD STE 303
OKLAHOMA CITY, OK 73135
Nurse Practitioner (Acute Care)
5224 E I 240 SERVICE RD STE 303
OKLAHOMA CITY, OK 73135
Physician Assistant
5224 E I 240 SERVICE RD STE 303
OKLAHOMA CITY, OK 73135
Internal Medicine (Interventional Cardiology)
5224 E I 240 SERVICE RD STE 303
OKLAHOMA CITY, OK 73135
Internal Medicine (Interventional Cardiology)
5224 E I 240 SERVICE RD STE 303
OKLAHOMA CITY, OK 73135
Nurse Practitioner (Family)
5224 E I 240 SERVICE RD STE 303
OKLAHOMA CITY, OK 73135
Nurse Practitioner (Gerontology)
5224 E I 240 SERVICE RD STE 303
OKLAHOMA CITY, OK 73135

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 Anjan Kumar's NPI number?

The NPI number for Anjan Kumar is 1447460142. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Anjan Kumar located?

Anjan Kumar practices at 5224 E I 240 Service Rd Ste 303, Oklahoma City, OK 73135. The listed phone number is (405) 608-3800.

What is Anjan Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Anjan Kumar enrolled in Medicare?

Yes. Anjan 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 Anjan Kumar accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and Mending Health list Anjan 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 Anjan Kumar affiliated with any hospitals?

According to CMS data, Anjan Kumar is affiliated with Mercy Hospital Oklahoma City, Inc, Integris Baptist Medical Center, Inc, Grady Memorial Hospital, Oklahoma Heart Hospital, LLC and Oklahoma Heart Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Anjan Kumar was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.