SEEMA KUMAR MD
NPI 1700082534
Psychiatry & Neurology - Neurology in Freeport, IL

Q: What is Seema Kumar's NPI number?

The NPI number for Seema Kumar is 1700082534. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Q: What is Seema Kumar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Seema Kumar was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 June 27, 2007PECOS EnrolledAccepts Medicare Assignment

82.57/100

CMS Quality Rating

25 N HARLEM AVE, FREEPORT, IL 61032(815) 599-7788(815) 599-7113 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2026, Oct 23, 2017 (2 updates tracked since 2017).

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About Seema Kumar Md NPPES

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

SEEMA KUMAR MD (NPI 1700082534) is an individual neurology provider in Freeport, Illinois, licensed in Illinois (036127610) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and maintains a secondary practice location in Freeport.

NPPES Registry Identity

NPI1700082534

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameSEEMA KUMARCredential: MD

Location Address25 N HARLEM AVEFreeport, IL 61032-3801

Mailing Address1045 W Stephenson StFreeport, IL 61032-4864 · (815) 599-6000

Phone(815) 599-7788

Fax(815) 599-7113

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateJune 27, 2007

Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1700082534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in IL · 036127610✔ Licensed in MI · 4301089713

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

25 N HARLEM AVE, Freeport, IL 61032

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Secondary Practice Location 1

Location 11045 W Stephenson StFreeport, IL 61032-4864 · Phone (815) 599-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare, MercyCare Health Plans, Quartz.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Seema 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 ID3476618026

PECOS Enrollment IDI20111212000164

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 Reassignments

Medicare enrollment records show Seema Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Freeport Memorial Hospital

1.3 mi

General Acute Care Hospital

1045 W STEPHENSON ST
Freeport, IL 61032

Reassigned Medicare billing, Illinois enrollment
478 clinicians in this Medicare group

NPI 1447228788 (815) 599-6000

Freeport Regional Health Care Foundation

1.4 mi

Family Medicine

1036 W STEPHENSON ST
Freeport, IL 61032

Reassigned Medicare billing, Illinois enrollment
391 clinicians in this Medicare group

NPI 1457337016 (815) 599-6000

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

Areas of Expertise CMS Part B claims 3

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.

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.

538 services259 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

43 services43 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.

21 services18 patients

Hospital Affiliations CMS Care Compare

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140160

Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61032 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

82.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.59

Promoting Interoperability

Improvement Activities

Cost

58.04

Other Providers at the Same Location NPPES 10

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

COURTNEY L PYANT-DAN-PULLO MD

Obstetrics & Gynecology