DR. ASHU KUMAR D.O., M.P.H.
NPI 1689854895
Pediatrics - Pediatric Emergency Medicine in San Antonio, TX

NPI Status: Active since November 06, 2007

Contact Information

333 N SANTA ROSA ST
SAN ANTONIO, TX
ZIP 78207
Phone: (210) 704-3321

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  • Individual
  • Female
  • Pediatrics
  • Pediatric Emergency Medicine
  • Accepts Insurance
  • PECOS Enrolled

About ASHU KUMAR

This page provides the complete NPI Profile along with additional information for Ashu Kumar, a pediatrician established in San Antonio, Texas with a medical specialization in Pediatrics, focusing in pediatric emergency medicine . The healthcare provider is registered in the NPI registry with number 1689854895 assigned on November 2007. The practitioner's primary taxonomy code is 2080P0204X with license number N5168 (TX). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1689854895
Provider Name
DR. ASHU KUMAR D.O., M.P.H.
Gender
Female
Entity Type
Individual
Location Address
333 N SANTA ROSA ST SAN ANTONIO, TX 78207
Location Phone
(210) 704-3321
Mailing Address
315 N SAN SABA STE 1135 SAN ANTONIO, TX 78207
Mailing Phone
(210) 704-3321
Is Sole Proprietor?
Yes
Enumeration Date
11-06-2007
Last Update Date
12-02-2020
Code Navigator

A pediatrician like Ashu Kumar is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Emergency Medicine

Taxonomy Code
2080P0204X
Type
Allopathic & Osteopathic Physicians
License No.
N5168
License State
TX
Taxonomy Description
A pediatrician who has special qualifications to manage emergencies in infants and children.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12080P0204XAllopathic & Osteopathic Physicians

Pediatrics
Pediatric Emergency Medicine

BP10027096 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • MyBlue Health Bronze? 402 - HMO
  • CHRISTUS Bronze (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
  • CHRISTUS Bronze + Dental & Vision (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
  • CHRISTUS Bronze Essential - HMO
  • CHRISTUS Bronze Essential (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
  • CHRISTUS Bronze Essential + Dental & Vision (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
  • CHRISTUS Bronze Essential Plus - HMO
  • CHRISTUS Catastrophic (3 Free PCP visits) - HMO
  • CHRISTUS Gold - HMO
  • CHRISTUS Gold + Dental & Vision + Fitness ($0 Deductible, $5 PCP, $0 Generic Rx, $0 Virtual Urgent Care) - HMO
  • CHRISTUS Gold + Fitness ($0 Deductible, $5 PCP, $0 Generic Rx, $0 Virtual Urgent Care) - HMO
  • CHRISTUS Gold Essential - HMO
  • CHRISTUS Gold Essential ($0 Rx Deductible, $5 PCP, $0 Virtual Urgent Care) - HMO
  • CHRISTUS Gold Essential + Dental & Vision ($0 Rx Deductible, $5 PCP, $0 Virtual Urgent Care) - HMO
  • CHRISTUS Gold Essential Plus - HMO
  • CHRISTUS Gold Plus - HMO
  • CHRISTUS Silver Essential - HMO
  • CHRISTUS Silver Essential 70 ($5 PCP, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
  • CHRISTUS Silver Essential 70 + Dental & Vision ($5 PCP, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
  • CHRISTUS Silver Essential Plus - HMO
  • CHRISTUS Standard Expanded Bronze - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Ashu Kumar is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. ASHU KUMAR D.O., M.P.H.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689854895, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 85. The final step is to find the difference between that total and the next multiple of ten (90 - 85 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 8 → 16 → 7 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 1 + 6 + 5 + 8 + 8 + 1 + 8 + 24 = 85

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 85 is 90. The difference is the calculated check digit.

90 - 85 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1689854895.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Otolaryngology (Pediatric Otolaryngology)
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Pediatrics (Pediatric Hematology-Oncology)
333 N SANTA ROSA ST, 8TH FLOOR
SAN ANTONIO, TX 78207
Pediatrics
333 N SANTA ROSA ST, 3RD FL
SAN ANTONIO, TX 78207
Radiology (Diagnostic Radiology)
333 N SANTA ROSA ST, DEPT OF RADIOLOGY
SAN ANTONIO, TX 78207
Physician Assistant
333 N SANTA ROSA ST, STE F-2669
SAN ANTONIO, TX 78207
Psychologist (Clinical)
333 N SANTA ROSA ST, 8TH FL
SAN ANTONIO, TX 78207
Pediatrics
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Nurse Practitioner (Pediatrics)
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Nurse Practitioner
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Emergency Medicine
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Physician Assistant
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Nurse Practitioner (Pediatrics)
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Nurse Practitioner (Pediatrics, Critical Care)
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Nurse Practitioner (Family)
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Family Medicine
333 N SANTA ROSA ST, CENTER FOR CHILDREN & FAMILIES, 4TH FLOOR, CLINIC A
SAN ANTONIO, TX 78207
Pediatrics (Pediatric Gastroenterology)
333 N SANTA ROSA ST, CHILDREN'S HOSPITAL OF SAN ANTONIO
SAN ANTONIO, TX 78207
Audiologist
333 N SANTA ROSA ST, LOWER LEVEL
SAN ANTONIO, TX 78207
Physician Assistant
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Pediatrics (Pediatric Pulmonology)
333 N SANTA ROSA ST, SUITE F2669
SAN ANTONIO, TX 78207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689854895, enumerated as an "individual" on November 06, 2007.

The provider is located at 333 N SANTA ROSA ST SAN ANTONIO, TX 78207 and the phone number is (210) 704-3321.

Pediatrics with taxonomy code 2080P0204X and a focus in Pediatric Emergency Medicine.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and CHRISTUS. Please consult your insurance carrier or call the provider to verify.