RICKI KUMAR
NPI 1548794761
Internal Medicine - Critical Care Medicine in Grand Junction, CO

Active since April 13, 2017PECOS EnrolledAccepts Medicare Assignment
83.97/100
CMS Quality Rating
688 23 1/2 RD STE 303, GRAND JUNCTION, CO 81505(970) 263-2680 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 10, 2025, Nov 17, 2023, Apr 13, 2017 (3 updates tracked since 2017).

About Ricki Kumar NPPES

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

RICKI KUMAR (NPI 1548794761) is an individual critical care medicine provider in Grand Junction, Colorado, licensed in Colorado (CDRH.0064856) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brunswick, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2017).

NPPES Registry Identity

NPI1548794761
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameRICKI KUMAR
Location Address688 23 1/2 RD STE 303Grand Junction, CO 81505-8904
Mailing Address5306 Outlook Blvd Unit 203Pueblo, CO 81008-1410 · (281) 743-1407
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2017
Enumeration DateApril 13, 2017
Last NPPES UpdateApril 10, 20253 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1548794761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CO · CDRH.0064856
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedHospitalistTaxonomy 208M00000X · License DO3725 (ME)
688 23 1/2 RD STE 303, Grand Junction, CO 81505

Secondary Practice Location 1

Location 1123 Medical Center DrBrunswick, ME 04011-2652 · Phone (207) 373-6000 · Fax (207) 373-6080

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

Ricki Kumar 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 ID1355688425
PECOS Enrollment IDI20231025004096
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

5

Medicare enrollment records show Ricki Kumar reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
688 23 1/2 ROAD, SUITE 201
Grand Junction, CO 81505
  • Reassigned Medicare billing, Colorado enrollment
  • 90 clinicians in this Medicare group
Specialist
688 23 1/2 ROAD, SUITE 303
Grand Junction, CO 81505
  • Reassigned Medicare billing, Colorado enrollment
  • 100 clinicians in this Medicare group
Pulmonary Disease
501 AIRPORT RD
Rifle, CO 81650
  • Reassigned Medicare billing, Colorado enrollment
  • 22 clinicians in this Medicare group
Surgery
310 COUNTY ROAD 14
Del Norte, CO 81132
  • Reassigned Medicare billing, Colorado enrollment
  • 203 clinicians in this Medicare group
Family Medicine
515 SOUTH FRONT ST
Townsend, MT 59644
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: St Peters Health
  • 304 clinicians in this Medicare group

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 5

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
103 services98 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.
92 services48 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.
43 services41 patients
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.
24 services14 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81505 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.8
Promoting Interoperability99
Improvement Activities40
Cost57.16

Referred Medical Equipment & Supplies CMS DME claims 9

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers11 claims11 services$97.86 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims55 services$2.47 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers54 claims54 services$775.84 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier12 claims12 services$14.28 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers44 claims44 services$32.33 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
4 suppliers18 claims18 services$91.81 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 3

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

Nurse Practitioner
688 23 1/2 RD STE 303
GRAND JUNCTION, CO 81505
Internal Medicine (Pulmonary Disease)
688 23 1/2 RD STE 303
GRAND JUNCTION, CO 81505
Physician Assistant
688 23 1/2 RD STE 303
GRAND JUNCTION, CO 81505

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 Ricki Kumar's NPI number?

The NPI number for Ricki Kumar is 1548794761. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Ricki Kumar located?

Ricki Kumar practices at 688 23 1/2 Rd Ste 303, Grand Junction, CO 81505. The listed phone number is (970) 263-2680.

What is Ricki Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Ricki Kumar enrolled in Medicare?

Yes. Ricki 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 Ricki Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ricki Kumar reassigns Medicare benefits to 5 organizations: Colorado West Healthcare System (Grand Junction, CO), Community Medical Group, LLC (Grand Junction, CO), Valley View Hospital Association (Rifle, CO), Lutheran Hospital Association Of The San Luis Valley (Del Norte, CO) and St. Peter's Health (Townsend, MT). 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 Ricki 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 Ricki Kumar was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.