DR. KUMAR'S MEDICAL CLINIC PA
NPI 1790718369
Specialist in Forrest City, AR
About Dr. Kumar's Medical Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KUMAR'S MEDICAL CLINIC PA (NPI 1790718369) is a healthcare organization registered as a specialist in Forrest City, Arkansas and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through January 17, 2028 and lists Alison Shepherd, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kumar's Medical Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Dr. Kumar's Medical Clinic PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D0897668
Dr Kumar's Medical Clinic, PA · Forrest City, ARFrequently 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 Dr. Kumar's Medical Clinic PA's NPI number?
The NPI number for Dr. Kumar's Medical Clinic PA is 1790718369. It was assigned to this organization in the NPPES registry on July 8, 2006.
Where is Dr. Kumar's Medical Clinic PA located?
Dr. Kumar's Medical Clinic PA is located at 1801 Lindauer Rd, Forrest City, AR 72335. The listed phone number is (870) 633-5016.
What is Dr. Kumar's Medical Clinic PA's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Dr. Kumar's Medical Clinic PA enrolled in Medicare?
Yes. Dr. Kumar's Medical Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr. Kumar's Medical Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dr. Kumar's Medical Clinic PA, in Internal Medicine, Nurse Practitioner and Psychiatry. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dr. Kumar's Medical Clinic PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D0897668) is associated with this NPI, valid through January 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dr. Kumar's Medical Clinic PA accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Dr. Kumar's Medical Clinic PA 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 Dr. Kumar's Medical Clinic PA was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Kumar's Medical Clinic Pa · NPI 1790718369
Specialist organization in Forrest City, Arkansas. Organization record, active in the CMS NPPES registry since July 8, 2006.
## Identity
- **NPI:** 1790718369 (Entity type: Organization)
- **Enumerated:** July 8, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Alison Shepherd, PRESIDENT
## Practice location
- **Address:** 1801 LINDAUER RD, Forrest City, AR 72335-2407
- **Phone:** (870) 633-5016 · **Fax:** (870) 633-6309
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1), Psychiatry (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 27, 2026
- **Other identifiers:** Medicaid 126650002 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790718369) · Data from the CMS NPPES public registry.