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DR. PARVATHI KUMAR
NPI 1740410695
Pediatrics - Pediatric Infectious Diseases in Neptune, NJ

Active since July 24, 2009PECOS Enrolled
85.18/100
CMS Quality Rating
1945 STATE ROUTE 33, NEPTUNE, NJ 07753(732) 776-2342(732) 776-2344 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 16, 2024, Jul 5, 2024, Jul 13, 2023 (3 updates tracked since 2023).

About Dr. Parvathi Kumar NPPES

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

DR. PARVATHI KUMAR (NPI 1740410695) is an individual pediatric infectious diseases provider in Neptune, New Jersey, licensed in New Jersey (25IA13154700) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1740410695
Entity TypeIndividualFemale
Primary Taxonomy2080P0208X
Provider Legal NameDR. PARVATHI KUMAR
Location Address1945 STATE ROUTE 33Neptune, NJ 07753-4859
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680
Phone(732) 776-2342
Fax(732) 776-2344
Sole ProprietorNo
Enumeration DateJuly 24, 2009
Last NPPES UpdateJune 22, 20263 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1740410695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
Licenses✔ Licensed in NJ · 25IA13154700✔ Licensed in LA · 308031✔ Licensed in NM · MD2022-0013
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Also ListedPediatricsTaxonomy 208000000X · License MD453866 (PA)
1945 STATE ROUTE 33, Neptune, NJ 07753
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12211 Lomas Blvd NEAlbuquerque, NM 87106-2719 · Phone (505) 272-0051
Location 2500 University DrHershey, PA 17033-2360 · Phone (800) 243-1455
Location 31315 Jefferson HwyNew Orleans, LA 70121-2406 · Phone (504) 842-3900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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

Hackensack Meridian Health Medical Group - Primary Care PC
9.1 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800
Ochsner Clinic LLC
1,101 mi
General Practice
100 RED CROSS PL
Bogalusa, LA 70427
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 clinicians in this Medicare group
NPI 1366797110 (985) 875-2828
Unm Medical Group Inc
1,810 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303

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

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

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.

MAULIK D SHAH DO
Internal Medicine (Gastroenterology)
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2770
HANI NASER
Internal Medicine
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-4483
KALIOPI MELLO
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2455
DR. EMILY NICOLE RIENZO MD
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-4328
CHRISTINE BARONE D.O
Pediatrics (Neonatal-Perinatal Medicine)
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-4283
NIYOUSHA SADEGHPOUR MD
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2455
JUSTIN VAN NEST PA-C
Physician Assistant
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-2330
ZAINAB SHAHSAMAND MD
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-3712

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 Parvathi Kumar's NPI number?

The NPI number for Parvathi Kumar is 1740410695. It was assigned to this individual provider in the NPPES registry on July 24, 2009.

Where is Parvathi Kumar located?

Parvathi Kumar practices at 1945 State Route 33, Neptune, NJ 07753. The listed phone number is (732) 776-2342.

What is Parvathi Kumar's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Parvathi Kumar enrolled in Medicare?

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

Which organizations bill Medicare for Parvathi Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Parvathi Kumar reassigns Medicare benefits to 3 organizations: Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ), Ochsner Clinic LLC (Bogalusa, LA) and Unm Medical Group Inc (Albuquerque, NM). 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 Parvathi Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Parvathi Kumar accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and Oscar Health list Parvathi 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 Parvathi Kumar was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.