PRADEEP KUMAR MD
NPI 1609823608
Psychiatry & Neurology - Child & Adolescent Psychiatry in Plano, TX
About Pradeep Kumar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRADEEP KUMAR MD (NPI 1609823608) is an individual child & adolescent psychiatry provider in Plano, Texas, licensed in Texas (L8098) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Kumar 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
2Medicare enrollment records show Pradeep Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75251
- Reassigned Medicare billing, Texas enrollment
- 86 clinicians in this Medicare group
Dallas, TX 75235
- Reassigned Medicare billing, Texas enrollment
- 51 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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kumar's NPI number?
The NPI number for Pradeep Kumar is 1609823608. It was assigned to this individual provider in the NPPES registry on May 27, 2006.
Where is Pradeep Kumar located?
Pradeep Kumar practices at 3920 Alma Dr, Plano, TX 75023. The listed phone number is (972) 422-5939.
What is Pradeep Kumar's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Pradeep Kumar enrolled in Medicare?
Yes. Pradeep 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.
Which organizations bill Medicare for Pradeep Kumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pradeep Kumar reassigns Medicare benefits to 2 organizations: North Texas Behavioral Health Authority (Dallas, TX) and Family And Child Guidance Centers (Dallas, TX). 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 Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pradeep Kumar accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Pradeep 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.
When was this NPI record last updated?
The NPPES record for Pradeep Kumar was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Kumar, MD · NPI 1609823608
Child & Adolescent Psychiatry physician in Plano, Texas. Individual provider, active in the CMS NPPES registry since May 27, 2006.
## Identity
- **NPI:** 1609823608 (Entity type: Individual)
- **Enumerated:** May 27, 2006
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** L8098 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3920 ALMA DR, Plano, TX 75023-6748
- **Phone:** (972) 422-5939 · **Fax:** (972) 422-1280
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): North Texas Behavioral Health Authority (NPI 1457720120, Dallas, TX); Family And Child Guidance Centers (NPI 1811062367, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** October 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609823608) · Data from the CMS NPPES public registry.