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DR. MUKESH KUMAR MD
NPI 1659535086
Hospitalist in Atlanta, GA

Active since July 15, 2008PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
1000 JOHNSON FERRY RD, ATLANTA, GA 30342(404) 851-8000(404) 303-3759 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2020, Jan 9, 2020 (2 updates tracked since 2020).

About Dr. Mukesh Kumar Md NPPES

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

DR. MUKESH KUMAR MD (NPI 1659535086) is an individual hospitalist provider in Atlanta, Georgia, licensed in Georgia (68447) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1659535086
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. MUKESH KUMARCredential: MD
Location Address1000 JOHNSON FERRY RDAtlanta, GA 30342-1606
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(404) 851-8000
Fax(404) 303-3759
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 15, 2008
Last NPPES UpdateNovember 16, 20202 updates tracked since enumeration
NPPES CertifiedNovember 16, 2020
✔ NPI 1659535086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 68447
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME109274 (FL)
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 068447 (GA)
1000 JOHNSON FERRY RD, Atlanta, GA 30342
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Other Identifiers 1

Medicaid003126661GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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. Mukesh 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.

PECOS PAC ID2365611076
PECOS Enrollment IDI20120828000636
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
723 services202 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
132 services124 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
24%97 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers28 claims28 services$14.86 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$0.87 avg. paid by Medicare
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
2 suppliers28 claims28 services$71.84 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$17.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SHELLEY S STATON PAAA
Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (770) 645-9181
TYREL FOSTER MD
Nuclear Medicine
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 851-6323
KEVIN DAVIS
Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 851-8000
NICK TAHER M.D.
Hospitalist
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 851-8000
NORTHSIDE RADIOLOGY ASSOCIATES LLC
Radiology (Diagnostic Radiology)
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 662-2438
TAYEB AHMAD RAHIM
Radiology (Neuroradiology)
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (678) 553-7784
KATHRYN LYNN DEAN NP
Nurse Practitioner
1000 JOHNSON FERRY RD
SANDY SPRINGS, GA 30342
Fulton County (404) 851-6500
VICKI DO
Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (770) 530-6646

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 Mukesh Kumar's NPI number?

The NPI number for Mukesh Kumar is 1659535086. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Where is Mukesh Kumar located?

Mukesh Kumar practices at 1000 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (404) 851-8000.

What is Mukesh Kumar's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mukesh Kumar enrolled in Medicare?

Yes. Mukesh 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 Mukesh Kumar accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Mukesh 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 Mukesh Kumar affiliated with any hospitals?

According to CMS data, Mukesh Kumar is affiliated with Northside Hospital Forsyth and Piedmont Columbus Regional Midtown.

When was this NPI record last updated?

The NPPES record for Mukesh Kumar was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.