DR. RANI KUMARAN M.D.
NPI 1467616144
Internal Medicine - Pulmonary Disease in Cumming, GA

Active since July 11, 2008PECOS EnrolledAccepts Medicare Assignment
78.66/100
CMS Quality Rating
1400 NORTHSIDE FORSYTH DR, SUITE 210, CUMMING, GA 30041(678) 288-5864(678) 455-0010 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2021, Feb 26, 2021, Feb 2, 2017 (3 updates tracked since 2017).

About Dr. Rani Kumaran M.d. NPPES

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

DR. RANI KUMARAN M.D. (NPI 1467616144) is an individual pulmonary disease provider in Cumming, Georgia, licensed in Georgia (61278) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1467616144
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RANI KUMARANCredential: M.D.
Location Address1400 NORTHSIDE FORSYTH DR, SUITE 210Cumming, GA 30041-7668
Mailing AddressPo Box 1060, Attn: Carla McentireOakwood, GA 30566-0018 · (770) 219-8721 · Fax (770) 219-2639
Fax(678) 455-0010
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 11, 2008
Last NPPES UpdateApril 26, 20213 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
NPI 1467616144 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 GA · 61278
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 Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 61278 (GA)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 61278 (GA)
1400 NORTHSIDE FORSYTH DR, Cumming, GA 30041

Other Identifiers 3

Medicaid003145827CGA
Medicaid003145827AGA
Medicaid003145827BGA

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

Dr. Rani Kumaran 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 ID1951479690
PECOS Enrollment IDI20081007000719
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 25

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.
717 services372 patients
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.
567 services210 patients
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.
288 services188 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.
114 services114 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.
114 services108 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.
108 services108 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

78.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality74.09
Improvement Activities40
Cost65.5

Reported Quality Measures

Advance Care Plan
0%995 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
17%195 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
1%1,300 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
69%719 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%117 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%117 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%4,524 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%969 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
55%1,995 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%2,185 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 1,424 patients
Patients screened: 100% · 1,424 patients
80%173 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%507 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,015 patients
Patients totalRate: 1% · 1,016 patients
1%1,016 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 30

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
16 suppliers364 claims364 services$33.51 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
6 suppliers53 claims106 services$1.32 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
4 suppliers29 claims29 services$9.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
15 suppliers256 claims256 services$73.34 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
15 suppliers255 claims738 services$27.92 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
12 suppliers223 claims1,289 services$15.63 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 20

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

Family Medicine
1400 NORTHSIDE FORSYTH DR, SUITE 200
CUMMING, GA 30041
Physician Assistant
1400 NORTHSIDE FORSYTH DR, SUITE 200
CUMMING, GA 30041
Audiologist
1400 NORTHSIDE FORSYTH DR, STE 240
CUMMING, GA 30041
Podiatrist
1400 NORTHSIDE FORSYTH DR, SUITE 220
CUMMING, GA 30041
Registered Nurse (Plastic Surgery)
1400 NORTHSIDE FORSYTH DR, SUITE 390
CUMMING, GA 30041
Internal Medicine
1400 NORTHSIDE FORSYTH DR, SUITE 210
CUMMING, GA 30041
Clinical Medical Laboratory
1400 NORTHSIDE FORSYTH DR, SUITE 350
CUMMING, GA 30041
Nurse Practitioner
1400 NORTHSIDE FORSYTH DR, STE 250
CUMMING, GA 30041

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 Rani Kumaran's NPI number?

The NPI number for Rani Kumaran is 1467616144. It was assigned to this individual provider in the NPPES registry on July 11, 2008.

Where is Rani Kumaran located?

Rani Kumaran practices at 1400 Northside Forsyth Dr Suite 210, Cumming, GA 30041. The listed phone number is (678) 288-5864.

What is Rani Kumaran's specialty?

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

Is Rani Kumaran enrolled in Medicare?

Yes. Rani Kumaran 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 Rani Kumaran accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Rani Kumaran 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 Rani Kumaran affiliated with any hospitals?

According to CMS data, Rani Kumaran is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Rani Kumaran was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.