AMEET KUMAR
NPI 1679096838
Internal Medicine - Nephrology in Newport News, VA

Active since July 19, 2017PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
739 THIMBLE SHOALS BLVD STE 801, NEWPORT NEWS, VA 23606(757) 873-1009(757) 873-7689 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jul 19, 2017 (2 updates tracked since 2017).

About Ameet Kumar NPPES

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

AMEET KUMAR (NPI 1679096838) is an individual nephrology provider in Newport News, Virginia, licensed in Virginia (0101273961) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and maintains a secondary practice location in Pittsfield.

NPPES Registry Identity

NPI1679096838
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameAMEET KUMAR
Location Address739 THIMBLE SHOALS BLVD STE 801Newport News, VA 23606-3585
Mailing Address856 J Clyde Morris Blvd Ste ANewport News, VA 23601-1318 · (757) 316-5800 · Fax (757) 534-5190
Fax(757) 873-7689
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 19, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedJune 15, 2022
NPI 1679096838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in VA · 0101273961
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 272253 (MA)
739 THIMBLE SHOALS BLVD STE 801, Newport News, VA 23606

Secondary Practice Location 1

Location 1725 North StreetPittsfield, MA 01201 · Phone (413) 447-2839 · Fax (413) 447-2088

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

Ameet Kumar 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 ID8426322900
PECOS Enrollment IDI20200610000343
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 2024 & 2026 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.
241 services126 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.
215 services89 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
180 services50 patients
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.
135 services56 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services60 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
64 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Riverside Doctors' Hospital Of Williamsburg

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490143
Location1500 Commonwealth AvenueWilliamsburg, VA 23185 · James City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
739 THIMBLE SHOALS BLVD STE 801
NEWPORT NEWS, VA 23606
Internal Medicine (Nephrology)
739 THIMBLE SHOALS BLVD STE 801
NEWPORT NEWS, VA 23606
Internal Medicine (Nephrology)
739 THIMBLE SHOALS BLVD STE 801
NEWPORT NEWS, VA 23606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679096838, enumerated as an "individual" on July 19, 2017.

The provider is located at 739 THIMBLE SHOALS BLVD STE 801 NEWPORT NEWS, VA 23606 and the phone number is (757) 873-1009.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

Ameet Kumar is affiliated with: RIVERSIDE REGIONAL MEDICAL CENTER, RIVERSIDE WALTER REED HOSPITAL and RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG.