KUMARA SIDHARTHA MD
NPI 1629091608
Internal Medicine in South Yarmouth, MA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
495 STATION AVE, SOUTH YARMOUTH, MA 02664(508) 778-4777(508) 771-9555 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kumara Sidhartha Md NPPES

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

KUMARA SIDHARTHA MD (NPI 1629091608) is an individual internal medicine provider in South Yarmouth, Massachusetts, licensed in Massachusetts (215838) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1629091608
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKUMARA SIDHARTHACredential: MD
Location Address495 STATION AVESouth Yarmouth, MA 02664-1218
Mailing Address297 North St Ste 221Hyannis, MA 02601-5133 · (508) 862-7777
Fax(508) 771-9555
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 25, 2006
Last NPPES UpdateJune 18, 2019
NPI 1629091608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 215838
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

495 STATION AVE, South Yarmouth, MA 02664

Other Identifiers 7

Other694622Harvard Pilgrim
Medicaid0183610MA
OtherJ25418Blue Cross
Other215838Tufts
Other043369730Private Healthcare System
Other043369730First Health
Other7390460Aetna

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

Kumara Sidhartha 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.

PECOS PAC ID4284810136
PECOS Enrollment IDI20110511000199
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 4

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, 30-39 minutes 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.
215 services136 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
39 services31 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.
32 services32 patients
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.
27 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02664 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.36
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Internal Medicine
495 STATION AVE
SOUTH YARMOUTH, MA 02664
Internal Medicine
495 STATION AVE
SOUTH YARMOUTH, MA 02664
Nurse Practitioner
495 STATION AVE
SOUTH YARMOUTH, MA 02664
Internal Medicine
495 STATION AVE
SOUTH YARMOUTH, MA 02664
Nurse Practitioner (Adult Health)
495 STATION AVE
SOUTH YARMOUTH, MA 02664
Nurse Practitioner (Family)
495 STATION AVE
SOUTH YARMOUTH, MA 02664
Physician Assistant (Medical)
495 STATION AVE
SOUTH YARMOUTH, MA 02664
Nurse Practitioner (Family)
495 STATION AVE
SOUTH YARMOUTH, MA 02664

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629091608, enumerated as an "individual" on July 25, 2006.

The provider is located at 495 STATION AVE SOUTH YARMOUTH, MA 02664 and the phone number is (508) 778-4777.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare,. Please consult your insurance carrier or call the provider to verify.