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SHICHA KUMAR MD
NPI 1518100262
Surgery in New Brunswick, NJ

Active since April 10, 2009PECOS EnrolledAccepts Medicare Assignment
195 LITTLE ALBANY ST, ROOM 2040, NEW BRUNSWICK, NJ 08901(732) 235-7563(732) 235-5260 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shicha Kumar Md NPPES

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

SHICHA KUMAR MD (NPI 1518100262) is an individual surgery provider in New Brunswick, New Jersey, licensed in New Jersey (25MA09875800) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1518100262
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSHICHA KUMARCredential: MD
Location Address195 LITTLE ALBANY ST, ROOM 2040New Brunswick, NJ 08901-1914
Mailing Address195 Little Albany St, Room 2040New Brunswick, NJ 08901-1914 · (732) 235-7563 · Fax (732) 235-5260
Phone(732) 235-7563
Fax(732) 235-5260
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 10, 2009
Last NPPES UpdateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1518100262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NJ · 25MA09875800
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 253249 (NY), 25MA09875800 (NJ)
195 LITTLE ALBANY ST, New Brunswick, NJ 08901
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Other Identifiers 1

Medicaid03261974NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Shicha Kumar Md 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 ID4183811789
PECOS Enrollment IDI20160917000121
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 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.
79 services62 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services19 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
17 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
11 services11 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ERIC A RUBIN
Internal Medicine (Medical Oncology)
195 LITTLE ALBANY ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-2465
MARGARET MASTERSON
Pediatrics (Pediatric Hematology-Oncology)
195 LITTLE ALBANY ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6455
ALLISON ROSE DAVANZO PA-C
Physician Assistant
195 LITTLE ALBANY ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-2465
BRUCE G HAFFTY MD
Radiology (Radiation Oncology)
195 LITTLE ALBANY ST, THE CANCER INSTITUTE OF NEW JERSEY ROOM 2006
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-5203
MRS. COLLEEN MERNAR NP
Nurse Practitioner (Adult Health)
195 LITTLE ALBANY ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-2465
SUSAN LYNNE SCHWARTZ RN, APN-C
Nurse Practitioner (Adult Health)
195 LITTLE ALBANY ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6949
MRS. ANGELIKA SHENKERMAN APN
Nurse Practitioner (Pediatrics)
195 LITTLE ALBANY ST
NEW BRUNSWICK, NJ 08901
Middlesex County (908) 596-1760
RITA MUSANTI
Nurse Practitioner
195 LITTLE ALBANY ST, THE CANCER INSTITUTE OF NEW JERSEY
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6777

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 Shicha Kumar's NPI number?

The NPI number for Shicha Kumar is 1518100262. It was assigned to this individual provider in the NPPES registry on April 10, 2009.

Where is Shicha Kumar located?

Shicha Kumar practices at 195 Little Albany St Room 2040, New Brunswick, NJ 08901. The listed phone number is (732) 235-7563.

What is Shicha Kumar's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Shicha Kumar enrolled in Medicare?

Yes. Shicha 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 Shicha Kumar accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Shicha 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 Shicha Kumar affiliated with any hospitals?

According to CMS data, Shicha Kumar is affiliated with Robert Wood Johnson University Hospital, Robert Wood Johnson University Hospital - Somerset and Monmouth Medical Center.

When was this NPI record last updated?

The NPPES record for Shicha Kumar was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.