DR. KUSUM R KANSAL M.D
NPI 1487608717
Specialist in Altoona, PA

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
714 6TH AVE, ALTOONA, PA 16602(814) 942-5466(814) 201-2280 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kusum R Kansal M.d NPPES

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

DR. KUSUM R KANSAL M.D (NPI 1487608717) is an individual specialist in Altoona, Pennsylvania, licensed in Pennsylvania (MD037708) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1487608717
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. KUSUM R KANSALCredential: M.D
Location Address714 6TH AVEAltoona, PA 16602-2626
Mailing Address714 6th AveAltoona, PA 16602-2626 · Fax (814) 946-5055
Fax(814) 201-2280
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateMay 20, 2006
Last NPPES UpdateMarch 11, 2016
NPI 1487608717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in PA · MD037708
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
714 6TH AVE, Altoona, PA 16602

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. Kusum R Kansal 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 ID4789623786
PECOS Enrollment IDI20050428001050
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 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.

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.
111 services65 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.
36 services27 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
31 services31 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
21 services21 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

Specialist
714 6TH AVE
ALTOONA, PA 16602

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 Kusum Kansal's NPI number?

The NPI number for Kusum Kansal is 1487608717. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Kusum Kansal located?

Kusum Kansal practices at 714 6th Ave, Altoona, PA 16602. The listed phone number is (814) 942-5466.

What is Kusum Kansal's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kusum Kansal enrolled in Medicare?

Yes. Kusum Kansal 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 Kusum Kansal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kusum Kansal 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 Kusum Kansal affiliated with any hospitals?

According to CMS data, Kusum Kansal is affiliated with Upmc Altoona.

When was this NPI record last updated?

The NPPES record for Kusum Kansal was last updated on March 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.