SHWETA KUMAR M.D.
NPI 1780038620
Internal Medicine in Vernon, CT

Active since April 18, 2016PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shweta Kumar M.d. NPPES

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

SHWETA KUMAR M.D. (NPI 1780038620) is an individual internal medicine provider in Vernon, Connecticut, licensed in Connecticut (56948) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1780038620
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHWETA KUMARCredential: M.D.
Location Address31 UNION STVernon, CT 06066
Mailing Address254 Easton AveNew Brunswick, NJ 08901-1766 · (732) 745-8600
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 18, 2016
Last NPPES UpdateJune 28, 2018
NPI 1780038620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 56948
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.

31 UNION ST, Vernon, CT 06066

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

Shweta 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 ID2860749264
PECOS Enrollment IDI20180717000707
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 5

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.
188 services91 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.
81 services50 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
79 services78 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services36 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06066 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
87%62 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Social Worker (Clinical)
31 UNION ST
VERNON, CT 06066
Hospitalist
31 UNION ST
VERNON, CT 06066
Occupational Therapist
31 UNION ST
VERNON, CT 06066
Occupational Therapist
31 UNION ST
VERNON, CT 06066
General Acute Care Hospital
31 UNION ST
VERNON, CT 06066
Social Worker (Clinical)
31 UNION ST
VERNON, CT 06066
Counselor (Professional)
31 UNION ST
VERNON, CT 06066
Pathology (Anatomic Pathology & Clinical Pathology)
31 UNION ST
VERNON, CT 06066

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 Shweta Kumar's NPI number?

The NPI number for Shweta Kumar is 1780038620. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Shweta Kumar located?

Shweta Kumar practices at 31 Union St, Vernon, CT 06066. The listed phone number is (860) 872-0501.

What is Shweta Kumar's specialty?

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

Is Shweta Kumar enrolled in Medicare?

Yes. Shweta 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 Shweta Kumar was last updated on June 28, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.