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DHARMENDRA KUMAR
NPI 1689954794
Pediatrics - Neonatal-Perinatal Medicine in Lubbock, TX

Active since August 19, 2011PECOS Enrolled
COVENANT CHILDREN'S HOSPITAL, 4000 24TH STREET, LUBBOCK, TX 79410(806) 725-6241 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 18, 2019, Mar 1, 2019 (2 updates tracked since 2019).

About Dharmendra Kumar NPPES

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

DHARMENDRA KUMAR (NPI 1689954794) is an individual neonatal-perinatal medicine provider in Lubbock, Texas, licensed in Texas (R7794) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lubbock, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1689954794
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDHARMENDRA KUMAR
Location AddressCOVENANT CHILDREN'S HOSPITAL, 4000 24TH STREETLubbock, TX 79410
Mailing AddressCovenant Children's Hospital, 4000 24th StreetLubbock, TX 79410
Phone(806) 725-6241
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 19, 2011
Last NPPES UpdateMarch 18, 20192 updates tracked since enumeration
✔ NPI 1689954794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in TX · R7794
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
COVENANT CHILDREN'S HOSPITAL, Lubbock, TX 79410
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Secondary Practice Location 1

Location 1Covenant Children's Hospital, 4000 24th StreetLubbock, TX 79410 · Phone (806) 725-6241

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9133616600
PECOS Enrollment IDI20251016005081
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 Dharmendra Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Medical Group
0.1 mi
Family Medicine
2215 NASHVILLE AVE
Lubbock, TX 79410
  • Reassigned Medicare billing, Texas enrollment
  • 309 clinicians in this Medicare group
NPI 1376598904 (806) 725-4800

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 Dharmendra Kumar's NPI number?

The NPI number for Dharmendra Kumar is 1689954794. It was assigned to this individual provider in the NPPES registry on August 19, 2011.

Where is Dharmendra Kumar located?

Dharmendra Kumar practices at Covenant Children's Hospital 4000 24th Street, Lubbock, TX 79410. The listed phone number is (806) 725-6241.

What is Dharmendra Kumar's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Dharmendra Kumar enrolled in Medicare?

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

Which organization bills Medicare for Dharmendra Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dharmendra Kumar reassigns Medicare benefits to Covenant Medical Group (Lubbock, TX). 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 Dharmendra Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dharmendra Kumar accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Insurance Company and UnitedHealthcare list Dharmendra 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 Dharmendra Kumar was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.