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DR. NAVEEN KUMAR MD
NPI 1700142593
Surgery in Oxford, NC

Active since April 05, 2012PECOS EnrolledAccepts Medicare Assignment
102 PROFESSIONAL PARK STE C, OXFORD, NC 27565(919) 603-0368(919) 690-0842 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2023, Jul 21, 2022, Sep 11, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Naveen Kumar Md NPPES

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

DR. NAVEEN KUMAR MD (NPI 1700142593) is an individual surgery provider in Oxford, North Carolina, licensed in North Carolina (2012-00666) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Granville Health Systems, and maintains a secondary practice location in Oxford.

NPPES Registry Identity

NPI1700142593
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. NAVEEN KUMARCredential: MD
Location Address102 PROFESSIONAL PARK STE COxford, NC 27565-2554
Mailing Address102 Professional Park, Ste COxford, NC 27565-2554 · (919) 603-0368
Phone(919) 603-0368
Fax(919) 690-0842
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 5, 2012
Last NPPES UpdateOctober 6, 20234 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1700142593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 2012-00666
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
102 PROFESSIONAL PARK STE C, Oxford, NC 27565
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Secondary Practice Location 1

Location 1101 Professional Park Ste BOxford, NC 27565-2580 · Phone (919) 603-0368 · Fax (919) 690-0842

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 and accepts Medicare assignment

Dr. Naveen 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 ID749401529
PECOS Enrollment IDI20141020001973
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

3

Medicare enrollment records show Naveen Kumar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Granville Health Inc
Same address
Otolaryngology/Facial Plastic Surgery
102 PROFESSIONAL PARK DR., SUITE C
Oxford, NC 27565
  • Reassigned Medicare billing, North Carolina enrollment
  • 7 clinicians in this Medicare group
NPI 1043766686 (919) 692-0003
Alamance Regional Medical Center, Inc.
54 mi
General Acute Care Hospital
1240 HUFFMAN MILL RD
Burlington, NC 27215
  • Reassigned Medicare billing, North Carolina enrollment
  • 384 clinicians in this Medicare group
NPI 1326010273 (336) 538-8400
Surgery South PC
374 mi
Surgery
1040 EAGLES LANDING PKWY, SUITE 100
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1861527616 (770) 474-7287

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 4

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.
68 services27 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.
27 services12 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.
19 services19 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.
19 services14 patients

Hospital Affiliations CMS Care Compare

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

Granville Health Systems

Acute Care Hospitals · Oxford, NC
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340127
Location1010 College StOxford, NC 27565 · Granville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27565 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. SHANE MICHAEL HODGE D.O.
Surgery
102 PROFESSIONAL PARK STE C
OXFORD, NC 27565
Granville County (919) 603-0368
DR. RICHARD LOWELL ALEXANDER MD, PHD, MBA
Otolaryngology
102 PROFESSIONAL PARK STE C
OXFORD, NC 27565
Granville County (919) 692-0003

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 Naveen Kumar's NPI number?

The NPI number for Naveen Kumar is 1700142593. It was assigned to this individual provider in the NPPES registry on April 5, 2012.

Where is Naveen Kumar located?

Naveen Kumar practices at 102 Professional Park Ste C, Oxford, NC 27565. The listed phone number is (919) 603-0368.

What is Naveen Kumar's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Naveen Kumar enrolled in Medicare?

Yes. Naveen 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.

Which organizations bill Medicare for Naveen Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Naveen Kumar reassigns Medicare benefits to 3 organizations: Granville Health Inc (Oxford, NC), Alamance Regional Medical Center, Inc. (Burlington, NC) and Surgery South PC (Stockbridge, GA). Each 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 Naveen Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Naveen Kumar accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and UnitedHealthcare list Naveen 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 Naveen Kumar affiliated with any hospitals?

According to CMS data, Naveen Kumar is affiliated with Granville Health Systems.

When was this NPI record last updated?

The NPPES record for Naveen Kumar was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.