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SRIDIVYA KUMAR M.D.
NPI 1538332689
Internal Medicine - Nephrology in Merrillville, IN

Active since April 09, 2008PECOS EnrolledAccepts Medicare Assignment
200 E 80TH PL UNIT 2, MERRILLVILLE, IN 46410(219) 472-0379(219) 472-0491 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 31, 2022, Oct 21, 2019 (2 updates tracked since 2019).

About Sridivya Kumar M.d. NPPES

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

SRIDIVYA KUMAR M.D. (NPI 1538332689) is an individual nephrology provider in Merrillville, Indiana, licensed in Indiana (01073307A) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Community Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1538332689
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSRIDIVYA KUMARCredential: M.D.
Location Address200 E 80TH PL UNIT 2Merrillville, IN 46410-5671
Mailing AddressPo Box 3877Joliet, IL 60434-3877 · (815) 741-6830 · Fax (815) 741-6832
Phone(219) 472-0379
Fax(219) 472-0491
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 9, 2008
Last NPPES UpdateOctober 31, 20222 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1538332689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IN · 01073307A
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
200 E 80TH PL UNIT 2, Merrillville, IN 46410
Open in Google Maps ↗

Other Identifiers 1

Medicaid201204760IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sridivya 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 ID1355570524
PECOS Enrollment IDI20140210001772
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sridivya Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Care Network Inc
7.4 mi
Family Medicine
9660 WICKER AVE
St John, IN 46373
  • Reassigned Medicare billing, Indiana enrollment
  • 607 clinicians in this Medicare group
NPI 1457610487 (219) 365-7620
Galen Inpatient Physicians PC
10 mi
Hospitalist
901 MACARTHUR BLVD
Munster, IN 46321
  • Reassigned Medicare billing, Indiana enrollment
  • 228 clinicians in this Medicare group
NPI 1275252090 (219) 836-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
258 services114 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.
114 services51 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.
98 services97 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.
97 services96 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
46 services34 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services13 patients

Hospital Affiliations CMS Care Compare

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

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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

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

KATE GINNETTI FNP
Nurse Practitioner
200 E 80TH PL UNIT 2
MERRILLVILLE, IN 46410
Lake County (219) 472-0379

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 Sridivya Kumar's NPI number?

The NPI number for Sridivya Kumar is 1538332689. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Where is Sridivya Kumar located?

Sridivya Kumar practices at 200 E 80th Pl Unit 2, Merrillville, IN 46410. The listed phone number is (219) 472-0379.

What is Sridivya Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sridivya Kumar enrolled in Medicare?

Yes. Sridivya 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.

Which organizations bill Medicare for Sridivya Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sridivya Kumar reassigns Medicare benefits to 2 organizations: Community Care Network Inc (St John, IN) and Galen Inpatient Physicians PC (Munster, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sridivya Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sridivya Kumar accept?

Health plans from Anthem Blue Cross and Blue Shield list Sridivya 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 Sridivya Kumar affiliated with any hospitals?

According to CMS data, Sridivya Kumar is affiliated with Community Hospital.

When was this NPI record last updated?

The NPPES record for Sridivya Kumar was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.