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DR. DHANANJAY KUMAR MD
NPI 1669461075
Internal Medicine in Livonia, MI

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment
37595 7 MILE RD, SUITE 240, LIVONIA, MI 48152(734) 432-7713(734) 432-7774 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dhananjay Kumar Md NPPES

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

DR. DHANANJAY KUMAR MD (NPI 1669461075) is an individual internal medicine provider in Livonia, Michigan, licensed in Michigan (5315016412) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1669461075
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DHANANJAY KUMARCredential: MD
Location Address37595 7 MILE RD, SUITE 240Livonia, MI 48152-1003
Mailing Address26850 Providence Pkwy, Ste 370Novi, MI 48374-1262 · (248) 465-4160 · Fax (248) 465-5425
Phone(734) 432-7713
Fax(734) 432-7774
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 18, 2005
Last NPPES UpdateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
✔ NPI 1669461075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 5315016412
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.
37595 7 MILE RD, Livonia, MI 48152
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Other Identifiers 1

Medicaid452075110MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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. Dhananjay 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 ID9234310525
PECOS Enrollment IDI20110218000856
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 10

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.
353 services114 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
160 services121 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
154 services113 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.
77 services37 patients
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.
72 services46 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.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48152 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%37 patients5/55-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 5

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
1 supplier12 claims12 services$15.13 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims19 services$5.00 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
3 suppliers49 claims49 services$74.37 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier26 claims26 services$29.31 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$14.89 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.

JENNIFER HANDY PA-C
Physician Assistant
37595 7 MILE RD
LIVONIA, MI 48152
Wayne County (734) 542-6100
MICHIGAN URGENT CARE
Non-Pharmacy Dispensing Site
37595 7 MILE RD
LIVONIA, MI 48152
Wayne County (734) 542-6100
ANDREW GUSH
Family Medicine
37595 7 MILE RD, SUITE 201
LIVONIA, MI 48152
Wayne County (734) 853-5660
MARK D STACHERSKI M.D.
Family Medicine
37595 7 MILE RD, SUITE 220
LIVONIA, MI 48152
Wayne County (734) 432-7581
INFINITY PRIMARY CARE PLLC
Family Medicine
37595 7 MILE RD, SUITE 230
LIVONIA, MI 48152
Wayne County (734) 853-5694
DR. KIM D KEMSKE PHD
Psychologist
37595 7 MILE RD, 450
LIVONIA, MI 48152
Wayne County (734) 432-6665
STACY LYNN SMITH MD
Family Medicine
37595 7 MILE RD, SUITE 330
LIVONIA, MI 48152
Wayne County (734) 542-6115
CLINT BERNHARD
Family Medicine
37595 7 MILE RD, SUITE 210
LIVONIA, MI 48152
Wayne County (734) 432-7581

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 Dhananjay Kumar's NPI number?

The NPI number for Dhananjay Kumar is 1669461075. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Dhananjay Kumar located?

Dhananjay Kumar practices at 37595 7 Mile Rd Suite 240, Livonia, MI 48152. The listed phone number is (734) 432-7713.

What is Dhananjay Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dhananjay Kumar enrolled in Medicare?

Yes. Dhananjay 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 Dhananjay Kumar accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Dhananjay 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 Dhananjay Kumar affiliated with any hospitals?

According to CMS data, Dhananjay Kumar is affiliated with Ascension Providence Hospital, Southfield And Novi.

When was this NPI record last updated?

The NPPES record for Dhananjay Kumar was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.