1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Internal Medicine
  6. NPI Profile

DR. ATUL KUMAR MD, PHD
NPI 1649287095
Internal Medicine - Medical Oncology in Albuquerque, NM

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
UNM COMPREHENSIVE CANCER CENTER, HEMATOLOGY ONCOLOGY,, MSC07 4025, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-4946(505) 925-0100 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2025, Oct 24, 2023, Apr 13, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Atul Kumar Md, Phd NPPES

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

DR. ATUL KUMAR MD, PHD (NPI 1649287095) is an individual medical oncology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2018-0133) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Regional West Medical Center, and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1649287095
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. ATUL KUMARCredential: MD, PHD
Location AddressUNM COMPREHENSIVE CANCER CENTER, HEMATOLOGY ONCOLOGY,, MSC07 4025, 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310
Phone(505) 272-4946
Fax(505) 925-0100
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2001
Enumeration DateAugust 1, 2006
Last NPPES UpdateApril 2, 20254 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1649287095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in NM · MD2018-0133
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal MedicineTaxonomy 207R00000X · License A86359 (CA)
UNM COMPREHENSIVE CANCER CENTER, HEMATOLOGY ONCOLOGY,, Albuquerque, NM 87131
Open in Google Maps ↗

Secondary Practice Location 1

Location 1San Francisco VA Medical Center, 4150 Clement StreetSan Francisco, CA 94121 · Phone (415) 221-4810

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Dr. Atul Kumar Md, Phd 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 ID1951670405
PECOS Enrollment IDI20180416000653, I20240827001178
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 3

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 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.
382 services135 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.
91 services57 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
39 services39 patients

Hospital Affiliations CMS Care Compare 4

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

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280061
Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County
Emergency services Birthing friendly

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Lincoln County Medical Center

Critical Access Hospitals · Ruidoso, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321306
Location211 Sudderth DriveRuidoso, NM 88345 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers15 claims15 services$72.30 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$33.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Atul Kumar's NPI number?

The NPI number for Atul Kumar is 1649287095. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Atul Kumar located?

Atul Kumar practices at Unm Comprehensive Cancer Center, Hematology Oncology, Msc07 4025, 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-4946.

What is Atul Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Atul Kumar enrolled in Medicare?

Yes. Atul 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 Atul Kumar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Atul 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 Atul Kumar affiliated with any hospitals?

According to CMS data, Atul Kumar is affiliated with Regional West Medical Center, Unm Hospital, Christus St Vincent Regional Medical Center and Lincoln County Medical Center.

When was this NPI record last updated?

The NPPES record for Atul Kumar was last updated on April 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.