DR. NIKHIL A KUMTA MD, MS
NPI 1639311061
Internal Medicine - Gastroenterology in New York, NY

Active since March 31, 2009PECOS EnrolledAccepts Medicare Assignment
5 E 98TH ST, NEW YORK, NY 10029(212) 241-4299(212) 426-5099 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Nikhil A Kumta Md, Ms NPPES

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

DR. NIKHIL A KUMTA MD, MS (NPI 1639311061) is an individual gastroenterology provider in New York, New York, licensed in New York (259604) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1639311061
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. NIKHIL A KUMTACredential: MD, MS
Location Address5 E 98TH STNew York, NY 10029-6501
Mailing Address1 Gustave L Levy Pl, Box 3000New York, NY 10029-6504 · (212) 987-3100 · Fax (212) 731-5210
Fax(212) 426-5099
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 31, 2009
Last NPPES UpdateFebruary 22, 2019
✔ NPI 1639311061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 259604
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5 E 98TH ST, New York, NY 10029

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

Dr. Nikhil A Kumta Md, Ms 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 ID5092027979
PECOS Enrollment IDI20150707000796
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nikhil Kumta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology
1 GUSTAVE L LEVY PL
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1477932275 (New York)
  • 104 clinicians in this Medicare group
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 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 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
50 services40 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.
34 services31 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.
28 services26 patients
Review by radiologist of image from tube placement into bile duct using an endoscope 74328
This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.
27 services24 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.
24 services24 patients
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264
This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.
21 services18 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 20

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

Nurse Practitioner (Family)
5 E 98TH ST
NEW YORK, NY 10029
Psychologist (Clinical)
5 E 98TH ST
NEW YORK, NY 10029
Physician Assistant
5 E 98TH ST
NEW YORK, NY 10029
Allergy & Immunology
5 E 98TH ST
NEW YORK, NY 10029
Orthopaedic Surgery
5 E 98TH ST, BOX 1188
NEW YORK, NY 10029
Internal Medicine (Rheumatology)
5 E 98TH ST
NEW YORK, NY 10029
Physician Assistant
5 E 98TH ST, 6TH FLOOR UROLOGY
NEW YORK, NY 10029
Specialist
5 E 98TH ST
NEW YORK, NY 10029

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 Nikhil Kumta's NPI number?

The NPI number for Nikhil Kumta is 1639311061. It was assigned to this individual provider in the NPPES registry on March 31, 2009.

Where is Nikhil Kumta located?

Nikhil Kumta practices at 5 E 98th St, New York, NY 10029. The listed phone number is (212) 241-4299.

What is Nikhil Kumta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nikhil Kumta enrolled in Medicare?

Yes. Nikhil Kumta 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 Nikhil Kumta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikhil Kumta reassigns Medicare benefits to 2 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY) and New York University (Boynton Beach, FL). 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 Nikhil Kumta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nikhil Kumta affiliated with any hospitals?

According to CMS data, Nikhil Kumta is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Nikhil Kumta was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.