SNEHA KUMAR MD
NPI 1811322001
Family Medicine in Decatur, IL

Q: What is Sneha Kumar's NPI number?

The NPI number for Sneha Kumar is 1811322001. It was assigned to this individual provider in the NPPES registry on September 6, 2013.

Q: What is Sneha Kumar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sneha Kumar was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 06, 2013PECOS EnrolledAccepts Medicare Assignment

302 W HAY ST, SUITE 110, DECATUR, IL 62526(217) 876-6330(217) 876-6335 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2018, Mar 1, 2017 (2 updates tracked since 2017).

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About Sneha Kumar Md NPPES

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

SNEHA KUMAR MD (NPI 1811322001) is an individual family medicine provider in Decatur, Illinois, licensed in Illinois (036139241) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1811322001

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSNEHA KUMARCredential: MD

Location Address302 W HAY ST, SUITE 110Decatur, IL 62526-4167

Mailing Address304 W Hay St Ste 218Decatur, IL 62526-4169 · (217) 876-6330 · Fax (217) 876-6335

Phone(217) 876-6330

Fax(217) 876-6335

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateSeptember 6, 2013

Last NPPES UpdateSeptember 18, 20182 updates tracked since enumeration

✔ NPI 1811322001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036139241

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

302 W HAY ST, Decatur, IL 62526

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Sanford Health Plan and more.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

Sneha 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 ID1951606532

PECOS Enrollment IDI20211004003246

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 5

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.

174 services89 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

50 services50 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.

45 services45 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.

36 services30 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers22 claims61 services$5.63 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers15 claims15 services$5.43 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers12 claims12 services$210.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

MR. LEE G ENDSLEY MD

Urology

302 W HAY ST, STE 200
DECATUR, IL 62526

Macon County (217) 877-8925

NICOLE SUZETTE SOPER APN FNP-BC

Nurse Practitioner (Family)

302 W HAY ST
DECATUR, IL 62526

Macon County (217) 545-8000

KAITLYN P KOHLER NP

Nurse Practitioner

302 W HAY ST
DECATUR, IL 62526

Macon County (217) 545-8000

MIDWEST NEUROLOGY ASSOCIATES, S.C.

Specialist

302 W HAY ST, SUITE LL110
DECATUR, IL 62526

Macon County (217) 872-7000

DR. SCOTT E SHERWOOD M.D.

Surgery

302 W HAY ST, STE 205
DECATUR, IL 62526

Macon County (217) 876-2730

ALLEN BERNARD DEVLESCHOWARD JR. M.D.

Specialist

302 W HAY ST, STE 210
DECATUR, IL 62526

Macon County (217) 877-5943

CARL PETER BIRK JR. M.D.

Surgery

302 W HAY ST, STE 140
DECATUR, IL 62526

Macon County (217) 876-2730

MR. H.GALE ZACHEIS M.D.

Surgery

302 W HAY ST, SUITE 205
DECATUR, IL 62526

Macon County (217) 877-7718

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 Sneha Kumar's NPI number?

The NPI number for Sneha Kumar is 1811322001. It was assigned to this individual provider in the NPPES registry on September 6, 2013.

Where is Sneha Kumar located?

Sneha Kumar practices at 302 W Hay St Suite 110, Decatur, IL 62526. The listed phone number is (217) 876-6330.

What is Sneha Kumar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sneha Kumar enrolled in Medicare?

Yes. Sneha 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 Sneha Kumar accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Sanford Health Plan and UnitedHealthcare list Sneha 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 Sneha Kumar was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.