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DR. JAYANTHI KUMAR M.D.
NPI 1528041423
Internal Medicine in Worcester, MA

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
291 LINCOLN ST, WORCESTER, MA 01605(508) 752-7464 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 5, 2020, Dec 4, 2019 (2 updates tracked since 2019).

About Dr. Jayanthi Kumar M.d. NPPES

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

DR. JAYANTHI KUMAR M.D. (NPI 1528041423) is an individual internal medicine provider in Worcester, Massachusetts, licensed in Massachusetts (208474) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1528041423
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAYANTHI KUMARCredential: M.D.
Location Address291 LINCOLN STWorcester, MA 01605-3643
Mailing AddressPo Box 415348Boston, MA 02241-5348
Phone(508) 752-7464
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 23, 2005
Last NPPES UpdateNovember 5, 20202 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1528041423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 208474
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
291 LINCOLN ST, Worcester, MA 01605
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Other Names 1

Former Name (1)Dr. Jayanthi Vaidheeswaran M.d.

Other Identifiers 1

Medicaid0126870MA

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. Jayanthi 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 ID4385622570
PECOS Enrollment IDI20040713001007
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 3

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.

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.
502 services181 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
74 services73 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.
36 services36 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

DR. MARY R HAWTHORNE M.D.
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 791-8524
DR. JAMES E FANALE M.D.
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-6251
SEVIL HEMAYAT M.D
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 791-8524
MARIAN SABA MD
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 791-8524
MS. TRACY M. CORMIER NP
Nurse Practitioner
291 LINCOLN ST, EMPLOYEE HEALTH
WORCESTER, MA 01605
Worcester County (508) 793-6400
DR. HAWA OZIEN ABU MD
Internal Medicine (Geriatric Medicine)
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-6251
DOUGLAS MISAEL PALACIOS HERNANDEZ
Internal Medicine
291 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 799-2922
HAHNEMANN UROLOGY ASSOCIATES, INC.
Urology
291 LINCOLN ST, SUITE 201
WORCESTER, MA 01605
Worcester County (508) 755-8663

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 Jayanthi Kumar's NPI number?

The NPI number for Jayanthi Kumar is 1528041423. It was assigned to this individual provider in the NPPES registry on November 23, 2005. The provider is also known as Dr. Jayanthi Vaidheeswaran M.D..

Where is Jayanthi Kumar located?

Jayanthi Kumar practices at 291 Lincoln St, Worcester, MA 01605. The listed phone number is (508) 752-7464.

What is Jayanthi Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jayanthi Kumar enrolled in Medicare?

Yes. Jayanthi 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.

Is Jayanthi Kumar affiliated with any hospitals?

According to CMS data, Jayanthi Kumar is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Jayanthi Kumar was last updated on November 5, 2020. 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.