NISHANTH GIRIJA KUMAR M.D.
NPI 1548643752
Internal Medicine - Nephrology in Worcester, MA

Q: What is Nishanth Girija Kumar's NPI number?

The NPI number for Nishanth Girija Kumar is 1548643752. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Q: What is Nishanth Girija Kumar's specialty?

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

Active since July 07, 2015PECOS Enrolled

123 SUMMER ST, WORCESTER, MA 01608(508) 363-6208 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 11, 2020, Jun 18, 2017 (2 updates tracked since 2017).

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About Nishanth Girija Kumar M.d. NPPES

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

NISHANTH GIRIJA KUMAR M.D. (NPI 1548643752) is an individual nephrology provider in Worcester, Massachusetts, licensed in Kentucky (53686) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548643752

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameNISHANTH GIRIJA KUMARCredential: M.D.

Location Address123 SUMMER STWorcester, MA 01608-1216

Mailing Address105 Financial Pl, Ste 105Elizabethtown, KY 42701-8437 · (270) 765-5112 · Fax (270) 737-9252

Phone(508) 363-6208

Sole ProprietorYes

Enumeration DateJuly 7, 2015

Last NPPES UpdateMay 11, 20202 updates tracked since enumeration

NPPES CertifiedMay 11, 2020

✔ NPI 1548643752 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 KY · 53686

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.

123 SUMMER ST, Worcester, MA 01608

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01608 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$21.28 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$119.27 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier12 claims12 services$11.65 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.

MADAIAH LOKESHWARI M.D.

Hospitalist

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-6849

DR. JENNIFER LYNNE PAPPALARDO DPM

Podiatrist (Foot & Ankle Surgery)

123 SUMMER ST, DEPARTMENT OF PODIATRY
WORCESTER, MA 01608

Worcester County (508) 363-7390

DR. MADHAV SHARMA MD

Internal Medicine

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5438

YESHASWINI KATKOORI MD

Student in an Organized Health Care Education/Training Program

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5000

DANIELLE MAY PELOQUIN

Nurse Anesthetist, Certified Registered

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5000

DR. YAYAN CHEN M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-6049

FARRICY & KRAFT LLP

Obstetrics & Gynecology (Obstetrics)

123 SUMMER ST, SUITE 560
WORCESTER, MA 01608

Worcester County (508) 363-6100

KEITH A BEALS PA

Physician Assistant

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5000

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 Nishanth Girija Kumar's NPI number?

The NPI number for Nishanth Girija Kumar is 1548643752. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Nishanth Girija Kumar located?

Nishanth Girija Kumar practices at 123 Summer St, Worcester, MA 01608. The listed phone number is (508) 363-6208.

What is Nishanth Girija Kumar's specialty?

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

Is Nishanth Girija Kumar enrolled in Medicare?

Yes. Nishanth Girija Kumar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nishanth Girija Kumar was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.