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MANISH KUMAR DO
NPI 1568925584
Family Medicine in West Chester, PA

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment
1055 ANDREW DR, WEST CHESTER, PA 19380(610) 436-4448(610) 431-3707 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 17, 2025, Jun 4, 2019, Apr 8, 2019 (3 updates tracked since 2019).

About Manish Kumar Do NPPES

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

MANISH KUMAR DO (NPI 1568925584) is an individual family medicine provider in West Chester, Pennsylvania, licensed in Pennsylvania (OS020886) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Rowan University School Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1568925584
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMANISH KUMARCredential: DO
Location Address1055 ANDREW DRWest Chester, PA 19380-3446
Mailing Address1055 Andrew DrWest Chester, PA 19380-3446 · (215) 847-4771
Phone(610) 436-4448
Fax(610) 431-3707
Sole ProprietorYes
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2019
Enumeration DateApril 8, 2019
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1568925584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS020886
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.
1055 ANDREW DR, West Chester, PA 19380
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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

Manish Kumar Do 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 ID5890174353
PECOS Enrollment IDI20220614002062
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 10

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.
346 services224 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.
198 services198 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
44 services44 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
44 services44 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.
41 services36 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 7

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

LAURA ANN ROHRBAUGH
Family Medicine
1055 ANDREW DR
WEST CHESTER, PA 19380
Chester County (610) 436-4448
ANSU THOMAS DO
Family Medicine
1055 ANDREW DR
WEST CHESTER, PA 19380
Chester County (610) 436-4448
PENNCARE-PENNSYLVANIA HOSPITALIST ASSOCIATES
Non-Pharmacy Dispensing Site
1055 ANDREW DR, B
WEST CHESTER, PA 19380
Chester County (610) 436-4448
LINDSEY ALLISON MCGEEHAN PA-C
Physician Assistant
1055 ANDREW DR
WEST CHESTER, PA 19380
Chester County (610) 436-4448
MELANIE S ICE DO
Family Medicine
1055 ANDREW DR, SUITE B
WEST CHESTER, PA 19380
Chester County (610) 436-4448
DR. RONDA LYNN BROADY D.O.
Family Medicine
1055 ANDREW DR
WEST CHESTER, PA 19380
Chester County (610) 431-0865
DANIEL PATRICK SCOTT SR. PA-C
Physician Assistant (Medical)
1055 ANDREW DR
WEST CHESTER, PA 19380
Chester County (610) 436-4448

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 1568925584. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Manish Kumar located?

Manish Kumar practices at 1055 Andrew Dr, West Chester, PA 19380. The listed phone number is (610) 436-4448.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Manish Kumar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Highmark Blue Cross Blue Shield Delaware list Manish 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 Manish Kumar affiliated with any hospitals?

According to CMS data, Manish Kumar is affiliated with Hospital Of Univ Of Pennsylvania and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Manish Kumar was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.