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JAI R KUMAR M.D.
NPI 1790830636
Pediatrics in Sylva, NC

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
154 MEDICAL PARK LOOP STE A, SYLVA, NC 28779(828) 307-0900(866) 340-6013 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jai R Kumar M.d. NPPES

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

JAI R KUMAR M.D. (NPI 1790830636) is an individual pediatrics provider in Sylva, North Carolina, licensed in North Carolina (9901562) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1994).

NPPES Registry Identity

NPI1790830636
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAI R KUMARCredential: M.D.
Location Address154 MEDICAL PARK LOOP STE ASylva, NC 28779-5271
Mailing Address186 Medical Park Loop Ste 501Sylva, NC 28779-4110 · (828) 586-5594 · Fax (828) 586-3040
Phone(828) 307-0900
Fax(866) 340-6013
Sole ProprietorYes
Medical School CMSDuke University School Of MedicineGraduated 1994
Enumeration DateJanuary 23, 2007
Last NPPES UpdateAugust 12, 2026
NPPES CertifiedAugust 12, 2026
✔ NPI 1790830636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 9901562
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 9901562 (NC)
154 MEDICAL PARK LOOP STE A, Sylva, NC 28779
Open in Google Maps ↗

Other Identifiers 1

Medicaid891242NNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

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

Jai R 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 ID5597901884
PECOS Enrollment IDI20130410000548
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

2

Medicare enrollment records show Jai Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appalachian Mountain Community Health Centers
Same address
Federally Qualified Health Center (FQHC)
154 MEDICAL PARK LOOP # A
Sylva, NC 28779
  • Reassigned Medicare billing, North Carolina enrollment
  • 79 clinicians in this Medicare group
NPI 1841644531 (828) 307-0900
Mission Community Anesthesiology Specialists LLC
29 mi
Pain Medicine
89 HOSPITAL DR STE C
Brevard, NC 28712
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Mission Health Community Multispecialty Providers LLC
  • 824 clinicians in this Medicare group
NPI 1598235830 (828) 213-1740

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 28779 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 3

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

MS. VICTORIA L COOK COUNSELOR
Counselor
154 MEDICAL PARK LOOP STE A
SYLVA, NC 28779
Jackson County (828) 339-3999
JOHN SHIREY LCSW
Social Worker (Clinical)
154 MEDICAL PARK LOOP STE A
SYLVA, NC 28779
Jackson County (828) 307-0900
MRS. JENNIFER VOGT SWIFT PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
154 MEDICAL PARK LOOP STE A
SYLVA, NC 28779
Jackson County (828) 339-3999

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 Jai Kumar's NPI number?

The NPI number for Jai Kumar is 1790830636. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Jai Kumar located?

Jai Kumar practices at 154 Medical Park Loop Ste A, Sylva, NC 28779. The listed phone number is (828) 307-0900.

What is Jai Kumar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jai Kumar enrolled in Medicare?

Yes. Jai 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 Jai Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jai Kumar reassigns Medicare benefits to 2 organizations: Appalachian Mountain Community Health Centers (Sylva, NC) and Mission Community Anesthesiology Specialists LLC (Brevard, NC). 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 Jai Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jai Kumar accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 4 other insurers list Jai 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 Jai Kumar was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.