PRADEEP KUMARALINGAM M.D.
NPI 1558727917
Hospitalist in Findlay, OH

Q: What is Pradeep Kumaralingam's NPI number?

The NPI number for Pradeep Kumaralingam is 1558727917. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Q: What is Pradeep Kumaralingam's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since January 14, 2016PECOS EnrolledAccepts Medicare Assignment

1900 S MAIN ST, FINDLAY, OH 45840(419) 423-5262(419) 423-5550 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2020, Feb 2, 2017, Aug 24, 2016 and 1 more (4 updates tracked since 2016).

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About Pradeep Kumaralingam M.d. NPPES

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

PRADEEP KUMARALINGAM M.D. (NPI 1558727917) is an individual hospitalist provider in Findlay, Ohio, licensed in Ohio (35.128963) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1558727917

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NamePRADEEP KUMARALINGAMCredential: M.D.

Location Address1900 S MAIN STFindlay, OH 45840-1214

Mailing Address1900 S Main StFindlay, OH 45840-1214 · (419) 423-5262 · Fax (419) 423-5550

Phone(419) 423-5262

Fax(419) 423-5550

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJanuary 14, 2016

Last NPPES UpdateAugust 19, 20204 updates tracked since enumeration

NPPES CertifiedAugust 19, 2020

✔ NPI 1558727917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in OH · 35.128963✔ Licensed in MO · 2020010537

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2020010537 (MO), 35.128963 (OH)

1900 S MAIN ST, Findlay, OH 45840

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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

Pradeep Kumaralingam 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 ID9537456207

PECOS Enrollment IDI20200827000464

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.

435 services164 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.

306 services123 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.

225 services214 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.

25 services25 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.

22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260032

LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County

Emergency services Birthing friendly

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260081

Location1015 BowlesFenton, MO 63026 · Jefferson County

Emergency services Birthing friendly

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260191

Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45840 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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

2 suppliers19 claims19 services$14.29 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

3 suppliers66 claims68 services$86.27 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers22 claims23 services$31.90 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.

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