DR. ADITI KUMAR
NPI 1497061915
Internal Medicine - Endocrinology, Diabetes & Metabolism in Scottsdale, AZ

Active since August 20, 2010PECOS EnrolledAccepts Medicare Assignment
78.58/100
CMS Quality Rating
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 25, 2022, Dec 2, 2021 (2 updates tracked since 2021).

About Dr. Aditi Kumar NPPES

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

DR. ADITI KUMAR (NPI 1497061915) is an individual endocrinology, diabetes & metabolism provider in Scottsdale, Arizona, licensed in Arizona (56683) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1497061915
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. ADITI KUMAR
Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5452
Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5452 · (480) 301-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 20, 2010
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
NPI 1497061915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses Licensed in AZ · 56683 Licensed in MN · 106942 Licensed in WI · 65634 Licensed in MN · 56968 Licensed in MS · 23681
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 244913 (MA)
13400 E SHEA BLVD, Scottsdale, AZ 85259

Other Identifiers 1

Medicaid08251582MS

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. Aditi Kumar 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 ID3779725205
PECOS Enrollment IDI20181218001829
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 23

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, vedolizumab, intravenous, 1 mg J3380
Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.
8,100 services14 patients
Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
6,080 services11 patients
Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
4,410 services12 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,520 services39 patients
Injection, infliximab-axxq, biosimilar, (avsola), 10 mg Q5121
Infliximab-axxq (Avsola) is a biosimilar injection used to treat certain autoimmune conditions. It works by blocking a protein in your body that causes inflammation, helping to reduce symptoms. The dosage is 10 mg.
780 services11 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.
196 services180 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85259 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.05
Promoting Interoperability100
Improvement Activities40
Cost59.56

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers13 claims44 services$6.61 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers79 claims79 services$184.88 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.

Physician Assistant (Medical)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Physician Assistant (Surgical)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Psychologist (Clinical)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Dietitian, Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Internal Medicine
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Psychologist (Clinical)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Internal Medicine (Cardiovascular Disease)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Pathology (Anatomic Pathology & Clinical Pathology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497061915, enumerated as an "individual" on August 20, 2010.

The provider is located at 13400 E SHEA BLVD SCOTTSDALE, AZ 85259 and the phone number is (480) 301-8000.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.