PRADEEP KUMAR MD
NPI 1780761536
Internal Medicine in Bellingham, MA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
1003 S MAIN ST, BELLINGHAM, MA 02019(508) 883-0600(508) 883-5990 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2025, May 5, 2021, Dec 16, 2016 (3 updates tracked since 2016).

About Pradeep Kumar Md NPPES

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

PRADEEP KUMAR MD (NPI 1780761536) is an individual internal medicine provider in Bellingham, Massachusetts, licensed in Massachusetts (268807) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Milford Regional Medical Center, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1780761536
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRADEEP KUMARCredential: MD
Location Address1003 S MAIN STBellingham, MA 02019-1826
Mailing Address9 Industrial Rd Ste 5Milford, MA 01757-3736 · (508) 473-1480 · Fax (508) 473-1210
Fax(508) 883-5990
Sole ProprietorNo
Medical School CMSOtherGraduated 1972
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 3, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
NPI 1780761536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 268807
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.
1003 S MAIN ST, Bellingham, MA 02019

Other Identifiers 2

Other106317PA · Highmark
Other110228412PA · United Health Care

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

Pradeep Kumar Md 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 ID1254467798
PECOS Enrollment IDI20161205001734
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 11

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.

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.
177 services105 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.
175 services122 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
147 services147 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
33 services32 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
33 services22 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
29 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220090
Location14 Prospect StreetMilford, MA 01757 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02019 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers27 claims79 services$6.00 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims19 services$1.08 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims825 services$0.02 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$184.33 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$19.38 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1003 S MAIN ST
BELLINGHAM, MA 02019
Internal Medicine
1003 S MAIN ST
BELLINGHAM, MA 02019
Nurse Practitioner
1003 S MAIN ST
BELLINGHAM, MA 02019
Internal Medicine
1003 S MAIN ST
BELLINGHAM, MA 02019
Internal Medicine
1003 S MAIN ST
BELLINGHAM, MA 02019
Internal Medicine
1003 S MAIN ST
BELLINGHAM, MA 02019
Internal Medicine
1003 S MAIN ST
BELLINGHAM, MA 02019

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 Pradeep Kumar's NPI number?

The NPI number for Pradeep Kumar is 1780761536. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Pradeep Kumar located?

Pradeep Kumar practices at 1003 S Main St, Bellingham, MA 02019. The listed phone number is (508) 883-0600.

What is Pradeep Kumar's specialty?

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

Is Pradeep Kumar enrolled in Medicare?

Yes. Pradeep 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.

Is Pradeep Kumar affiliated with any hospitals?

According to CMS data, Pradeep Kumar is affiliated with Milford Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Pradeep Kumar was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.