PRADEEP REDDY KUMBHAM MD
NPI 1588079560
Psychiatry & Neurology - Neurology in Fort Smith, AR
About Pradeep Reddy Kumbham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRADEEP REDDY KUMBHAM MD (NPI 1588079560) is an individual neurology provider in Fort Smith, Arkansas, licensed in Arkansas (E-11390) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Pradeep Reddy Kumbham Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Pradeep Kumbham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springdale, AR 72762
- Reassigned Medicare billing, Arkansas enrollment
- 115 clinicians in this Medicare group
Rogers, AR 72758
- Reassigned Medicare billing, Arkansas enrollment
- 182 clinicians in this Medicare group
Bentonville, AR 72712
- Reassigned Medicare billing, Arkansas enrollment
- 136 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 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT SMITH, AR 72903
FORT SMITH, AR 72903
FORT SMITH, AR 72903
FORT SMITH, AR 72903
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 Pradeep Kumbham's NPI number?
The NPI number for Pradeep Kumbham is 1588079560. It was assigned to this individual provider in the NPPES registry on June 27, 2014.
Where is Pradeep Kumbham located?
Pradeep Kumbham practices at 7301 Rogers Ave, Fort Smith, AR 72903. The listed phone number is (479) 314-5175.
What is Pradeep Kumbham's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Pradeep Kumbham enrolled in Medicare?
Yes. Pradeep Kumbham 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 Pradeep Kumbham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pradeep Kumbham reassigns Medicare benefits to 3 organizations: Northwest Physicians LLC (Springdale, AR), Mercy Health Northwest Arkansas Communities (Rogers, AR) and Northwest Benton County Physician Services LLC (Bentonville, AR). 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 Pradeep Kumbham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pradeep Kumbham accept?
Health plans from Health Advantage and Octave list Pradeep Kumbham 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.
When was this NPI record last updated?
The NPPES record for Pradeep Kumbham was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Pradeep Reddy Kumbham, MD · NPI 1588079560
Neurology physician in Fort Smith, Arkansas. Individual provider, active in the CMS NPPES registry since June 27, 2014.
## Identity
- **NPI:** 1588079560 (Entity type: Individual)
- **Enumerated:** June 27, 2014
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** E-11390 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 7301 ROGERS AVE, Fort Smith, AR 72903-4100
- **Phone:** (479) 314-5175 · **Fax:** (479) 314-3185
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Northwest Physicians LLC (NPI 1194768721, Springdale, AR); Mercy Health Northwest Arkansas Communities (NPI 1699076737, Rogers, AR); Northwest Benton County Physician Services LLC (NPI 1871553073, Bentonville, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** March 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1588079560) · Data from the CMS NPPES public registry.