PRIYADARSHINI KUMAR M.D.
NPI 1770988297
Pathology - Anatomic Pathology & Clinical Pathology in New York, NY

Active since October 27, 2014PECOS EnrolledAccepts Medicare Assignment
321 E 61ST ST RM 110, NEW YORK, NY 10065(917) 384-5295 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2025, Jul 24, 2019 (2 updates tracked since 2019).

About Priyadarshini Kumar M.d. NPPES

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

PRIYADARSHINI KUMAR M.D. (NPI 1770988297) is an individual anatomic pathology & clinical pathology provider in New York, New York, licensed in New York (336374) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1770988297
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NamePRIYADARSHINI KUMARCredential: M.D.
Location Address321 E 61ST ST RM 110New York, NY 10065-8204
Mailing Address321 E 61st St Rm 110New York, NY 10065-8204
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 27, 2014
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1770988297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in NY · 336374✔ Licensed in TN · 59470
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · HematologyTaxonomy 207ZH0000X · License 59470 (TN)
321 E 61ST ST RM 110, New York, NY 10065

Secondary Practice Location 1

Location 1262 Danny Thomas PlMemphis, TN 38105-3678 · Phone (888) 226-4343

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

Priyadarshini 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 ID3072842574
PECOS Enrollment IDI20251217002840
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 Priyadarshini Kumar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anatomic Pathology & Clinical Pathology
1275 YORK AVE
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 116 clinicians in this Medicare group
Hematology & Oncology
1275 YORK AVE
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 428 clinicians in this Medicare group
Pediatrics
262 DANNY THOMAS PL
Memphis, TN 38105
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: St Jude Childrens Research Hospital Inc
  • 367 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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 Priyadarshini Kumar's NPI number?

The NPI number for Priyadarshini Kumar is 1770988297. It was assigned to this individual provider in the NPPES registry on October 27, 2014.

Where is Priyadarshini Kumar located?

Priyadarshini Kumar practices at 321 E 61st St Rm 110, New York, NY 10065. The listed phone number is (917) 384-5295.

What is Priyadarshini Kumar's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Priyadarshini Kumar enrolled in Medicare?

Yes. Priyadarshini 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 Priyadarshini Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyadarshini Kumar reassigns Medicare benefits to 3 organizations: Memorial Pathology Group (New York, NY), Memorial Hematology Lymphoma Group (New York, NY) and St Jude Children's Research Hospital, Inc. (Memphis, TN). 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 Priyadarshini Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Priyadarshini Kumar was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.