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NISHA IYER KUMAR M.D.
NPI 1710226568
Internal Medicine in Voorhees, NJ

Active since February 13, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
200 BOWMAN DR STE E385 BACK, VOORHEES, NJ 08043(856) 840-4535(856) 762-2853 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2024, Apr 18, 2024, Oct 18, 2020 and 1 more (4 updates tracked since 2016).

About Nisha Iyer Kumar M.d. NPPES

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

NISHA IYER KUMAR M.D. (NPI 1710226568) is an individual internal medicine provider in Voorhees, New Jersey, licensed in New Jersey (25MA9273000) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1710226568
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNISHA IYER KUMARCredential: M.D.
Location Address200 BOWMAN DR STE E385 BACKVoorhees, NJ 08043
Mailing Address7000 Atrium Way, Suite 6Mount Laurel, NJ 08054 · (856) 291-6818 · Fax (856) 291-6819
Phone(856) 840-4535
Fax(856) 762-2853
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 13, 2013
Last NPPES UpdateOctober 1, 20244 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1710226568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA9273000
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.
Also ListedHospitalistTaxonomy 208M00000X · License 25MA09273000 (NJ)
200 BOWMAN DR STE E385 BACK, Voorhees, NJ 08043
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1100 Bowman Dr Fl 1Voorhees, NJ 08043-9612 · Phone (856) 247-3000 · Fax (856) 247-2597
Location 2175 Madison AvenueMount Holly, NJ 08060 · Phone (609) 914-6180 · Fax (609) 914-9182
Location 390 Brick Rd Fl 3Marlton, NJ 08053-2177 · Phone (856) 355-6000 · Fax (856) 355-6731

Other Identifiers 1

Medicaid0377171NJ

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

Nisha Iyer Kumar M.d. 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 ID9436391752
PECOS Enrollment IDI20130815000167
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 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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
48 services43 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
34 services23 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08043 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier97 claims97 services$40.99 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$13.99 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier15 claims15 services$39.96 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier26 claims26 services$8.61 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
1 supplier27 claims27 services$67.00 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$31.59 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 4

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

SOUMYA BOLLAMPALLY DO
Internal Medicine (Geriatric Medicine)
200 BOWMAN DR STE E385 BACK
VOORHEES, NJ 08043
Camden County (856) 840-4534
SHERRYLYNN LEE MD
Internal Medicine
200 BOWMAN DR STE E385 BACK
VOORHEES, NJ 08043
Camden County (856) 840-4534
SIMONE FLEARY
Physician Assistant
200 BOWMAN DR STE E385 BACK
VOORHEES, NJ 08043
Camden County (856) 840-4534
DR. ELIZABETH JOAN POLLARD MD
Internal Medicine
200 BOWMAN DR STE E385 BACK
VOORHEES, NJ 08043
Camden County (856) 840-4534

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 Nisha Kumar's NPI number?

The NPI number for Nisha Kumar is 1710226568. It was assigned to this individual provider in the NPPES registry on February 13, 2013.

Where is Nisha Kumar located?

Nisha Kumar practices at 200 Bowman Dr Ste E385 Back, Voorhees, NJ 08043. The listed phone number is (856) 840-4535.

What is Nisha Kumar's specialty?

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

Is Nisha Kumar enrolled in Medicare?

Yes. Nisha 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 Nisha Kumar accept?

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

According to CMS data, Nisha Kumar is affiliated with Newark Beth Israel Medical Center.

When was this NPI record last updated?

The NPPES record for Nisha Kumar was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.