SAMIR KUMAR
NPI 1790017804
Dentist - General Practice in Beaverton, OR

Active since February 01, 2010PECOS Enrolled
12450 SW PIONEER LN STE B, BEAVERTON, OR 97008(503) 590-8883(503) 590-0955 Get Directions Write a Review

NPPES record last updated: February 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samir Kumar NPPES

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

SAMIR KUMAR (NPI 1790017804) is an individual general practice provider in Beaverton, Oregon, licensed in Oregon (D7769) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790017804
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSAMIR KUMAR
Location Address12450 SW PIONEER LN STE BBeaverton, OR 97008-8377
Mailing Address12450 Sw Pioneer Ln Ste BBeaverton, OR 97008-8377
Fax(503) 590-0955
Sole ProprietorYes
Enumeration DateFebruary 1, 2010
NPI 1790017804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D7769
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12450 SW PIONEER LN STE B, Beaverton, OR 97008

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samir Kumar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97008 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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 Samir Kumar's NPI number?

The NPI number for Samir Kumar is 1790017804. It was assigned to this individual provider in the NPPES registry on February 1, 2010.

Where is Samir Kumar located?

Samir Kumar practices at 12450 SW Pioneer Ln Ste B, Beaverton, OR 97008. The listed phone number is (503) 590-8883.

What is Samir Kumar's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Samir Kumar enrolled in Medicare?

Yes. Samir Kumar is registered in the Medicare PECOS enrollment system.

What insurance does Samir Kumar accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 12 other insurers list Samir Kumar 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.

When was this NPI record last updated?

The NPPES record for Samir Kumar was last updated on February 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.