DR. ATUL KUMAR MD, PHD
NPI 1649287095
Internal Medicine - Medical Oncology in Albuquerque, NM
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 Unm Hospital, and maintains a secondary practice location in San Francisco.
NPPES Registry Identity
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Atul Kumar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- Also billed through NPI 1558347708 (New Mexico)
- 2,331 clinicians in this Medicare group
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,105 clinicians in this Medicare group
Albuquerque, NM 87109
- Reassigned Medicare billing, New Mexico enrollment
- 399 clinicians in this Medicare group
Scottsbluff, NE 69361
- Reassigned Medicare billing, Nebraska enrollment
- Medicare enrollment name: Regional West Physicians Clinic
- 208 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 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unm Hospital
Acute Care Hospitals · Albuquerque, NMChristus St Vincent Regional Medical Center
Acute Care Hospitals · Santa Fe, NMLos Alamos Medical Center
Acute Care Hospitals · Los Alamos, NMLincoln County Medical Center
Critical Access Hospitals · Ruidoso, NMPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Atul Kumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Atul Kumar reassigns Medicare benefits to 4 organizations: Presbyterian Healthcare Services (Albuquerque, NM), Unm Medical Group Inc (Albuquerque, NM), St Vincent Hospital (Albuquerque, NM) and Panhandle Health Service (Scottsbluff, NE). 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 Atul Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Atul Kumar accept?
Health plans from Blue Cross and Blue Shield of Nebraska 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 Unm Hospital, Christus St Vincent Regional Medical Center, Los Alamos 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Dr. Atul Kumar, MD, PHD · NPI 1649287095
Medical Oncology physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since August 1, 2006.
## Identity
- **NPI:** 1649287095 (Entity type: Individual)
- **Enumerated:** August 1, 2006
- **Primary specialty:** Internal Medicine - Medical Oncology · taxonomy 207RX0202X
- **State license:** MD2018-0133 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** UNM COMPREHENSIVE CANCER CENTER, HEMATOLOGY ONCOLOGY,, MSC07 4025, 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
- **Phone:** (505) 272-4946 · **Fax:** (505) 925-0100
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Presbyterian Healthcare Services (NPI 1215913470, Albuquerque, NM); Unm Medical Group Inc (NPI 1831218627, Albuquerque, NM); St Vincent Hospital (NPI 1184558363, Albuquerque, NM); Panhandle Health Service (NPI 1790866762, Scottsbluff, NE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** April 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649287095) · Data from the CMS NPPES public registry.