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DR. MONISHA PRIYADARSHIN KUMAR MD
NPI 1801318191
Internal Medicine - Endocrinology, Diabetes & Metabolism in Richland, WA

Active since July 09, 2017PECOS EnrolledAccepts Medicare Assignment
83.05/100
CMS Quality Rating
1100 GOETHALS DR FL 1, RICHLAND, WA 99352(509) 942-3288(509) 946-9389 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 14, 2022, Jul 28, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Monisha Priyadarshin Kumar Md NPPES

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

DR. MONISHA PRIYADARSHIN KUMAR MD (NPI 1801318191) is an individual endocrinology, diabetes & metabolism provider in Richland, Washington, licensed in Washington (MD61187329) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Providence St Mary Medical Center, and maintains a secondary practice location in Akron.

NPPES Registry Identity

NPI1801318191
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MONISHA PRIYADARSHIN KUMARCredential: MD
Location Address1100 GOETHALS DR FL 1Richland, WA 99352-3300
Mailing Address550 Gage Blvd Ste 101Richland, WA 99352-9532 · (509) 942-3627 · Fax (509) 627-2983
Phone(509) 942-3288
Fax(509) 946-9389
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 9, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedJuly 21, 2022
✔ NPI 1801318191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in WA · MD61187329
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD61187329 (WA)
1100 GOETHALS DR FL 1, Richland, WA 99352
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Akron General AveAkron, OH 44307-2432 · Phone (330) 888-3913

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Dr. Monisha Priyadarshin 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 ID6103198585
PECOS Enrollment IDI20220727001475
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 4

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.
372 services196 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
120 services120 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.
89 services78 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Samaritan Hospital

Acute Care Hospitals · Moses Lake, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500033
Location801 East Wheeler RoadMoses Lake, WA 98837 · Grant County
Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Prosser Memorial Hospital

Critical Access Hospitals · Prosser, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501312
Location723 Memorial StreetProsser, WA 99350 · Benton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99352 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

83.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.47
Promoting Interoperability100
Improvement Activities40
Cost67.03

Other Providers at the Same Location NPPES

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

DR. SHANNON RYLEE BALES M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1100 GOETHALS DR FL 1
RICHLAND, WA 99352
Benton County (509) 942-3288

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 Monisha Priyadarshin Kumar's NPI number?

The NPI number for Monisha Priyadarshin Kumar is 1801318191. It was assigned to this individual provider in the NPPES registry on July 9, 2017.

Where is Monisha Priyadarshin Kumar located?

Monisha Priyadarshin Kumar practices at 1100 Goethals Dr Fl 1, Richland, WA 99352. The listed phone number is (509) 942-3288.

What is Monisha Priyadarshin Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Monisha Priyadarshin Kumar enrolled in Medicare?

Yes. Monisha Priyadarshin 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.

What insurance does Monisha Priyadarshin Kumar accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Monisha Priyadarshin 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.

Is Monisha Priyadarshin Kumar affiliated with any hospitals?

According to CMS data, Monisha Priyadarshin Kumar is affiliated with Providence St Mary Medical Center, Samaritan Hospital, Kadlec Regional Medical Center and Prosser Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Monisha Priyadarshin Kumar was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.