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PARVEEN KUMAR M.D.
NPI 1558522003
Internal Medicine in Maplewood, MN

Active since June 18, 2008PECOS EnrolledAccepts Medicare Assignment
1575 BEAM AVE, MAPLEWOOD, MN 55109(651) 232-7000 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2024, Dec 3, 2020, Oct 16, 2020 and 6 more (9 updates tracked since 2017).

About Parveen Kumar M.d. NPPES

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

PARVEEN KUMAR M.D. (NPI 1558522003) is an individual internal medicine provider in Maplewood, Minnesota, licensed in Minnesota (64038) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Aspirus Ironwood Hospital, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1558522003
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePARVEEN KUMARCredential: M.D.
Location Address1575 BEAM AVEMaplewood, MN 55109-1126
Mailing Address5608 17th Ave Nw Ste 537Seattle, WA 98107-5232 · (607) 846-8041
Phone(651) 232-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 18, 2008
Last NPPES UpdateJune 7, 20249 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
✔ NPI 1558522003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MN · 64038✔ Licensed in PA · MD447163
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.
Also ListedHospitalistTaxonomy 208M00000X · License 64038 (MN), 4301115459 (MI), MD447163 (PA), 268250 (NY), 60849418 (WA), 174-320 (WI)
1575 BEAM AVE, Maplewood, MN 55109
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Secondary Practice Location 1

Location 15608 17th Ave NW Ste 537Seattle, WA 98107-5232 · Phone (607) 846-8041

Other Identifiers 1

Medicaid1027859010001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.Insurance ›

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

Parveen 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 ID143498550
PECOS Enrollment IDI20181127001487, I20181213001762, I20190325001334
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 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.

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.
641 services245 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.
189 services186 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.
114 services114 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.
59 services38 patients
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.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Aspirus Ironwood Hospital

Critical Access Hospitals · Ironwood, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number231333
LocationN10561 Grand View LaneIronwood, MI 49938 · Gogebic County
Emergency services Birthing friendly

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 2

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
3 suppliers19 claims19 services$20.26 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
5 suppliers32 claims32 services$104.40 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.

BRIAN TOLLY M.D.
Anesthesiology
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (920) 915-9034
YONG YANG
Interpreter
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-6177
GRETCHEN L HANSON CNNP
Nurse Practitioner (Neonatal)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7000
DR. NATHAN DEAN SWENSON M.D.
Emergency Medicine
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7348
NICHOLAS BASIL LOUDAS
Radiology (Radiation Oncology)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7970
HTOO BWAY INTERPRETER
Interpreter
1575 BEAM AVE
SAINT PAUL, MN 55109
Ramsey County (651) 232-2917
HEALTHEAST ST. JOHN'S HOSPITAL
Pharmacy (Institutional Pharmacy)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7970
DR. RAHUL KORANNE MD
Hospitalist
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7800

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 Parveen Kumar's NPI number?

The NPI number for Parveen Kumar is 1558522003. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Where is Parveen Kumar located?

Parveen Kumar practices at 1575 Beam Ave, Maplewood, MN 55109. The listed phone number is (651) 232-7000.

What is Parveen Kumar's specialty?

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

Is Parveen Kumar enrolled in Medicare?

Yes. Parveen 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.

What insurance does Parveen Kumar accept?

Health plans from Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of North Dakota and Medica list Parveen 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 Parveen Kumar affiliated with any hospitals?

According to CMS data, Parveen Kumar is affiliated with Aspirus Ironwood Hospital, M Health Fairview Southdale Hospital, M Health Fairview University Of Mn, M Health Fairview St John's Hospital and Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Parveen Kumar was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.