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MANISH KUMAR M.D
NPI 1538414982
Family Medicine in Bellerose, NY

Active since July 20, 2012PECOS Enrolled
25012 HILLSIDE AVE, SUITE B, BELLEROSE, NY 11426(718) 470-0126(718) 470-0128 Get Directions Write a Review

NPPES record last updated: April 2, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Manish Kumar M.d NPPES

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

MANISH KUMAR M.D (NPI 1538414982) is an individual family medicine provider in Bellerose, New York, licensed in New York (265895) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1538414982
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMANISH KUMARCredential: M.D
Location Address25012 HILLSIDE AVE, SUITE BBellerose, NY 11426-2100
Mailing Address13 Wilton StNew Hyde Park, NY 11040-3829 · (718) 470-0126 · Fax (718) 470-0128
Phone(718) 470-0126
Fax(718) 470-0128
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 20, 2012
Last NPPES UpdateApril 2, 2016
✔ NPI 1538414982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 265895
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
25012 HILLSIDE AVE, Bellerose, NY 11426
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manish Kumar M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628211158
PECOS Enrollment IDI20130830000231
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 Manish Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kumar Physician Office PC
Same address
Family Medicine
25012 HILLSIDE AVE STE B
Bellerose, NY 11426
  • Reassigned Medicare billing, New York enrollment
NPI 1447628342 (718) 470-0126
Kumar Medical Care, P.C.
1.5 mi
Family Medicine
13 WILTON ST
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Kumar Medical Care PC
NPI 1548601024 (917) 340-8274

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 4

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.
84 services34 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.
70 services23 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.
16 services16 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11426 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Manish Kumar's NPI number?

The NPI number for Manish Kumar is 1538414982. It was assigned to this individual provider in the NPPES registry on July 20, 2012.

Where is Manish Kumar located?

Manish Kumar practices at 25012 Hillside Ave Suite B, Bellerose, NY 11426. The listed phone number is (718) 470-0126.

What is Manish Kumar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Manish Kumar enrolled in Medicare?

Yes. Manish Kumar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Manish Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manish Kumar reassigns Medicare benefits to 2 organizations: Kumar Physician Office PC (Bellerose, NY) and Kumar Medical Care, P.C. (New Hyde Park, NY). 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 Manish Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Manish Kumar was last updated on April 2, 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.