PRIYA KUMAR M.D.
NPI 1578501847
Internal Medicine - Hematology & Oncology in Stillwater, MN

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
921 GREELEY ST S, STILLWATER, MN 55082(651) 439-1234 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Priya Kumar M.d. NPPES

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

PRIYA KUMAR M.D. (NPI 1578501847) is an individual hematology & oncology provider in Stillwater, Minnesota, licensed in Minnesota (45444) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1578501847
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NamePRIYA KUMARCredential: M.D.
Location Address921 GREELEY ST SStillwater, MN 55082-5935
Mailing Address8170 33rd Ave SMinneapolis, MN 55425-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 2, 2006
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
NPI 1578501847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in MN · 45444
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
921 GREELEY ST S, Stillwater, MN 55082

Accepted 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

Priya 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 ID8527063676
PECOS Enrollment IDI20060922000271
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
230 services76 patients
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.
127 services98 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
127 services39 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
44 services14 patients
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.
24 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Hudson Hospital

Critical Access Hospitals · Hudson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521335
Location405 Stageline RoadHudson, WI 54016 · St. Croix County
Emergency services Birthing friendly

Westfields Hospital And Clinic

Critical Access Hospitals · New Richmond, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521345
Location535 Hospital RdNew Richmond, WI 54017 · St. Croix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55082 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
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 3

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

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier79 claims79 services$36.70 avg. paid by Medicare
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient E0781
DME-Other DME · category DE000N
1 supplier25 claims25 services$176.57 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
1 supplier79 claims687 services$1.65 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.

Obstetrics & Gynecology
921 GREELEY ST S
STILLWATER, MN 55082
Physical Therapist
921 GREELEY ST S
STILLWATER, MN 55082
Urology
921 GREELEY ST S
STILLWATER, MN 55082
Nurse Practitioner
921 GREELEY ST S
STILLWATER, MN 55082
Obstetrics & Gynecology
921 GREELEY ST S
STILLWATER, MN 55082
Physical Therapist
921 GREELEY ST S
STILLWATER, MN 55082
Advanced Practice Midwife
921 GREELEY ST S
STILLWATER, MN 55082
Physician Assistant
921 GREELEY ST S
STILLWATER, MN 55082

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 Priya Kumar's NPI number?

The NPI number for Priya Kumar is 1578501847. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Priya Kumar located?

Priya Kumar practices at 921 Greeley St S, Stillwater, MN 55082. The listed phone number is (651) 439-1234.

What is Priya Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Priya Kumar enrolled in Medicare?

Yes. Priya 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 Priya Kumar accept?

Health plans from HealthPartners and Medica list Priya 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 Priya Kumar affiliated with any hospitals?

According to CMS data, Priya Kumar is affiliated with Lakeview Memorial Hospital, Regions Hospital, Hudson Hospital and Westfields Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Priya Kumar was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.