Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRATEEK KUMAR MD
NPI 1689133720
Radiology - Neuroradiology in Miami, FL

Q: What is Prateek Kumar's NPI number?

The NPI number for Prateek Kumar is 1689133720. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Prateek Kumar's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Q: When was this NPI record last updated?

The NPPES record for Prateek Kumar was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.

Active since March 18, 2019PECOS Enrolled

9600 S DIXIE HWY APT 1610, MIAMI, FL 33156(630) 901-7728 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2026, Jan 3, 2025, Jul 27, 2023 and 1 more (4 updates tracked since 2019).

On this page

About Prateek Kumar Md NPPES

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

PRATEEK KUMAR MD (NPI 1689133720) is an individual neuroradiology provider in Miami, Florida, licensed in Florida (ME167374) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689133720

Entity TypeIndividualMale

Primary Taxonomy2085N0700X

Provider Legal NamePRATEEK KUMARCredential: MD

Location Address9600 S DIXIE HWY APT 1610Miami, FL 33156-2898

Mailing Address9600 S Dixie Hwy Apt 1610Miami, FL 33156-2898 · (630) 901-7728

Phone(630) 901-7728

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 18, 2019

Last NPPES UpdateSeptember 11, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2026

✔ NPI 1689133720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085N0700X

License✔ Licensed in FL · ME167374

Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License U5739 (TX)

9600 S DIXIE HWY APT 1610, Miami, FL 33156

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prateek Kumar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628308343

PECOS Enrollment IDI20260617004410

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.

Medicare Billing Reassignment

Medicare enrollment records show Prateek Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Santa Clara

2,538 mi

Federally Qualified Health Center (FQHC)

7475 CAMINO ARROYO
Gilroy, CA 95020

Reassigned Medicare billing, California enrollment
2,460 clinicians in this Medicare group

NPI 1922093533 (408) 885-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Prateek Kumar's NPI number?

The NPI number for Prateek Kumar is 1689133720. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Prateek Kumar located?

Prateek Kumar practices at 9600 S Dixie Hwy Apt 1610, Miami, FL 33156. The listed phone number is (630) 901-7728.

What is Prateek Kumar's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Is Prateek Kumar enrolled in Medicare?

Yes. Prateek Kumar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prateek Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prateek Kumar reassigns Medicare benefits to County Of Santa Clara (Gilroy, CA). The 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 Prateek Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prateek Kumar accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Prateek 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.

When was this NPI record last updated?

The NPPES record for Prateek Kumar was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.