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RITESH KUMAR MD
NPI 1699037382
Internal Medicine in Pompton Plains, NJ

Active since June 09, 2012PECOS EnrolledAccepts Medicare Assignment
97 W PARKWAY, POMPTON PLAINS, NJ 07444(973) 831-5000 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ritesh Kumar Md NPPES

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

RITESH KUMAR MD (NPI 1699037382) is an individual internal medicine provider in Pompton Plains, New Jersey, licensed in Ohio (35.099279) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Chilton Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1699037382
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRITESH KUMARCredential: MD
Location Address97 W PARKWAYPompton Plains, NJ 07444-1647
Mailing Address97 W ParkwayPompton Plains, NJ 07444-1647 · (973) 831-5000
Phone(973) 831-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 9, 2012
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1699037382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35.099279✔ Licensed in NJ · 25MA09195700
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.
97 W PARKWAY, Pompton Plains, NJ 07444
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Ritesh 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 ID8426212556
PECOS Enrollment IDI20130305000162
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 7

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.
598 services241 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.
219 services205 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
179 services67 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.
164 services99 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.
99 services96 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310017
Location97 West ParkwayPompton Plains, NJ 07444 · Morris County
Emergency services Birthing friendly

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07444 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%299 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 3

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
2 suppliers37 claims37 services$13.27 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
2 suppliers48 claims48 services$61.24 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$31.10 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.

MRS. CAROL HAMILTON RN, BSN, CNOR, RNFA
Registered Nurse (Registered Nurse First Assistant)
97 W PARKWAY
POMPTON PLAINS, NJ 07444
Morris County (973) 831-5140
DR. ANIRUDH KAPOOR M.D.
Psychiatry & Neurology (Neurology)
97 W PARKWAY
POMPTON PLAINS, NJ 07444
Morris County (908) 522-2829
DR. PEDRO JAVIER COLON ORTIZ MD
Internal Medicine
97 W PARKWAY
POMPTON PLAINS, NJ 07444
Morris County (973) 831-5000
DARIA JANNUZZI M.A., CCC-SLP
Speech-Language Pathologist
97 W PARKWAY
POMPTON PLAINS, NJ 07444
Morris County (973) 831-5000
YASEEN BASEER
Hospitalist
97 W PARKWAY
POMPTON PLAINS, NJ 07444
Morris County (973) 831-5000
MR. DANIEL ALEX MISA RN
Registered Nurse (Continuing Education/Staff Development)
97 W PARKWAY
POMPTON PLAINS, NJ 07444
Morris County (732) 413-9026
DR. HAROLD DELALEU M.D.
Anesthesiology
97 W PARKWAY, DEPARTMENT OF ANESTHESIA
POMPTON PLAINS, NJ 07444
Morris County (973) 831-5000
DR. STUART ARTHUR SEIGAL M.D.
Obstetrics & Gynecology
97 W PARKWAY
POMPTON PLAINS, NJ 07444
Morris County (973) 831-5000

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 Ritesh Kumar's NPI number?

The NPI number for Ritesh Kumar is 1699037382. It was assigned to this individual provider in the NPPES registry on June 9, 2012.

Where is Ritesh Kumar located?

Ritesh Kumar practices at 97 W Parkway, Pompton Plains, NJ 07444. The listed phone number is (973) 831-5000.

What is Ritesh Kumar's specialty?

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

Is Ritesh Kumar enrolled in Medicare?

Yes. Ritesh 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 Ritesh Kumar accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ritesh 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 Ritesh Kumar affiliated with any hospitals?

According to CMS data, Ritesh Kumar is affiliated with Chilton Medical Center and St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Ritesh Kumar was last updated on January 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.