MITHUN REDDY KES KUMBHARANAHALLI
NPI 1801620224
Family Medicine in Manning, SC
About Mithun Reddy Kes Kumbharanahalli NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITHUN REDDY KES KUMBHARANAHALLI (NPI 1801620224) is an individual family medicine provider in Manning, South Carolina, licensed in South Carolina (LL95087) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, is affiliated with Mcleod Health Clarendon, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mithun Reddy Kes Kumbharanahalli is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mithun Reddy Kes Kumbharanahalli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
- 551 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mcleod Health Clarendon
Acute Care Hospitals · Manning, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mithun Reddy Kes Kumbharanahalli's NPI number?
The NPI number for Mithun Reddy Kes Kumbharanahalli is 1801620224. It was assigned to this individual provider in the NPPES registry on August 28, 2024.
Where is Mithun Reddy Kes Kumbharanahalli located?
Mithun Reddy Kes Kumbharanahalli practices at 50 E Hospital St, Manning, SC 29102. The listed phone number is (803) 435-8828.
What is Mithun Reddy Kes Kumbharanahalli's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mithun Reddy Kes Kumbharanahalli enrolled in Medicare?
Yes. Mithun Reddy Kes Kumbharanahalli is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mithun Reddy Kes Kumbharanahalli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mithun Reddy Kes Kumbharanahalli reassigns Medicare benefits to Peachtree Immediate Care Fp, LLC (Hiram, GA). The 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 Mithun Reddy Kes Kumbharanahalli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mithun Reddy Kes Kumbharanahalli affiliated with any hospitals?
According to CMS data, Mithun Reddy Kes Kumbharanahalli is affiliated with Mcleod Health Clarendon.
When was this NPI record last updated?
The NPPES record for Mithun Reddy Kes Kumbharanahalli was last updated on August 20, 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.
# Mithun Reddy Kes Kumbharanahalli · NPI 1801620224
Family Medicine physician in Manning, South Carolina. Individual provider, active in the CMS NPPES registry since August 28, 2024.
## Identity
- **NPI:** 1801620224 (Entity type: Individual)
- **Enumerated:** August 28, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** LL95087 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 E HOSPITAL ST, Manning, SC 29102-3149
- **Phone:** (803) 435-8828
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Peachtree Immediate Care Fp, LLC (NPI 1437194156, Hiram, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1801620224) · Data from the CMS NPPES public registry.