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ABHISHEK KUMAR M.D.
NPI 1740431212
Internal Medicine - Nephrology in New Haven, CT

Active since October 02, 2008PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
330 CEDAR ST, NEW HAVEN, CT 06510(203) 785-2585(203) 785-7317 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 4, 2026, Jun 30, 2021, Sep 19, 2016 and 1 more (4 updates tracked since 2016).

About Abhishek Kumar M.d. NPPES

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

ABHISHEK KUMAR M.D. (NPI 1740431212) is an individual nephrology provider in New Haven, Connecticut, licensed in Connecticut (55316) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1740431212
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameABHISHEK KUMARCredential: M.D.
Location Address330 CEDAR STNew Haven, CT 06510-3218
Mailing Address330 Cedar StNew Haven, CT 06510-3218 · (203) 785-2585 · Fax (203) 785-7317
Phone(203) 785-2585
Fax(203) 785-7317
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 2, 2008
Last NPPES UpdateAugust 4, 20264 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1740431212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in CT · 55316✔ Licensed in VT · 042.0013476
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 39534 (IA), 125.053928 (IL)
330 CEDAR ST, New Haven, CT 06510
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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

Abhishek 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 ID9133398860
PECOS Enrollment IDI20210709001570
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 10

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.
89 services29 patients
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.
67 services50 patients
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.
49 services37 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.
44 services25 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.
41 services37 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.
36 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Referred Medical Equipment & Supplies CMS DME claims 13

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

Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$49.70 avg. paid by Medicare
Portable oxygen contents, liquid, 1 month's supply = 1 unit E0444
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$47.03 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$858.40 avg. paid by Medicare
Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers38 claims1,860 services$3.20 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
10 suppliers297 claims133,926 services$1.21 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
12 suppliers133 claims18,000 services$0.30 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.

DR. PRAMOD BONDE MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
330 CEDAR ST, BOADMAN 204
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-6122
KAVYA SRINIVASAN
Student in an Organized Health Care Education/Training Program
330 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-3898
DR. JEROME DWUAN TAYLOR MD
Surgery
330 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (929) 210-6160
LAURA DAVIS
Surgery
330 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-5000
SARAH ULLRICH M.D.
Student in an Organized Health Care Education/Training Program
330 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-7890
DR. MAURO HANAOKA MD
Radiology (Diagnostic Radiology)
330 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2385
TRACY A STURROCK APRN
Nurse Practitioner (Family)
330 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 875-3098
DR. ALEXANDER KORAL MD
Pediatrics (Pediatric Gastroenterology)
330 CEDAR ST, LMP 4093
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4649

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 Abhishek Kumar's NPI number?

The NPI number for Abhishek Kumar is 1740431212. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Where is Abhishek Kumar located?

Abhishek Kumar practices at 330 Cedar St, New Haven, CT 06510. The listed phone number is (203) 785-2585.

What is Abhishek Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Abhishek Kumar enrolled in Medicare?

Yes. Abhishek 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.

When was this NPI record last updated?

The NPPES record for Abhishek Kumar was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.