MRS. MADHURIMA KUMAR M.D.
NPI 1811930498
Emergency Medicine in Lancaster, PA

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
250 COLLEGE AVE, LANCASTER, PA 17603(717) 988-0000(717) 782-5716 Get Directions Write a Review

NPPES record last updated: April 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Madhurima Kumar M.d. NPPES

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

MRS. MADHURIMA KUMAR M.D. (NPI 1811930498) is an individual emergency medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD037831L) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Mid Coast Medical Center - Central, and is a graduate of Lafayette Chiropractic Institute (1973).

NPPES Registry Identity

NPI1811930498
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMRS. MADHURIMA KUMARCredential: M.D.
Location Address250 COLLEGE AVELancaster, PA 17603-3363
Mailing Address409 S 2nd St Ste 2fHarrisburg, PA 17104-1612 · (717) 291-8111
Fax(717) 782-5716
Sole ProprietorYes
Medical School CMSLafayette Chiropractic InstituteGraduated 1973
Enumeration DateJune 13, 2006
Last NPPES UpdateApril 3, 2018
NPI 1811930498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in PA · MD037831L
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
250 COLLEGE AVE, Lancaster, PA 17603

Accepted 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

Mrs. Madhurima 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 ID5597738856
PECOS Enrollment IDI20160420001709
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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services18 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Mid Coast Medical Center - Central

Critical Access Hospitals · Llano, TX
OwnershipPhysician
CMS Certification Number451396
Location200 W OllieLlano, TX 78643 · Llano County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 20

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

Emergency Medicine
250 COLLEGE AVE
LANCASTER, PA 17603
Anesthesiology
250 COLLEGE AVE
LANCASTER, PA 17603
Pharmacist
250 COLLEGE AVE
LANCASTER, PA 17603
Dietitian, Registered
250 COLLEGE AVE
LANCASTER, PA 17603
Nurse Anesthetist, Certified Registered
250 COLLEGE AVE
LANCASTER, PA 17603
General Acute Care Hospital
250 COLLEGE AVE
LANCASTER, PA 17603
Radiology (Diagnostic Radiology)
250 COLLEGE AVE
LANCASTER, PA 17603
Internal Medicine
250 COLLEGE AVE
LANCASTER, PA 17603

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 Madhurima Kumar's NPI number?

The NPI number for Madhurima Kumar is 1811930498. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Madhurima Kumar located?

Madhurima Kumar practices at 250 College Ave, Lancaster, PA 17603. The listed phone number is (717) 988-0000.

What is Madhurima Kumar's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Madhurima Kumar enrolled in Medicare?

Yes. Madhurima 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 Madhurima Kumar accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Madhurima 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 Madhurima Kumar affiliated with any hospitals?

According to CMS data, Madhurima Kumar is affiliated with Mid Coast Medical Center - Central.

When was this NPI record last updated?

The NPPES record for Madhurima Kumar was last updated on April 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.