VITHAL KUSUMA M.D.
NPI 1750375051
Internal Medicine - Gastroenterology in Cordele, GA
About Vithal Kusuma M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITHAL KUSUMA M.D. (NPI 1750375051) is an individual gastroenterology provider in Cordele, Georgia, licensed in Georgia (021536) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains a secondary practice location in Albany.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Vithal Kusuma 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.
Medicare Billing Reassignments
4Medicare enrollment records show Vithal Kusuma reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cordele, GA 31010
- Reassigned Medicare billing, Georgia enrollment
- 124 clinicians in this Medicare group
Albany, GA 31701
- Reassigned Medicare billing, Georgia enrollment
- 1,118 clinicians in this Medicare group
Nashville, GA 31639
- Reassigned Medicare billing, Georgia enrollment
- 112 clinicians in this Medicare group
Jasper, GA 30143
- Reassigned Medicare billing, Georgia enrollment
- 317 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Augusta Hospital
Acute Care Hospitals · Augusta, GAColiseum Medical Centers, LLC, Dba
Acute Care Hospitals · Macon, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CORDELE, GA 31015
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 Vithal Kusuma's NPI number?
The NPI number for Vithal Kusuma is 1750375051. It was assigned to this individual provider in the NPPES registry on September 1, 2005.
Where is Vithal Kusuma located?
Vithal Kusuma practices at 902 N 7th St, Cordele, GA 31015. The listed phone number is (229) 276-3100.
What is Vithal Kusuma's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Vithal Kusuma enrolled in Medicare?
Yes. Vithal Kusuma 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 Vithal Kusuma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vithal Kusuma reassigns Medicare benefits to 4 organizations: Crisp Regional Hospital Inc (Cordele, GA), Phoebe Physician Group, Inc (Albany, GA), Hospital Authority Of Valdosta And Lowndes County, Georgia (Nashville, GA) and Piedmont Specialty Hospital Billing LLC (Jasper, 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 Vithal Kusuma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vithal Kusuma accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Vithal Kusuma 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 Vithal Kusuma affiliated with any hospitals?
According to CMS data, Vithal Kusuma is affiliated with Piedmont Augusta Hospital and Coliseum Medical Centers, LLC, Dba.
When was this NPI record last updated?
The NPPES record for Vithal Kusuma was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.