DR. SUNEEL KUMAR M.D.
NPI 1811934839
Internal Medicine - Critical Care Medicine in Colorado Springs, CO

Q: What is Suneel Kumar's NPI number?

The NPI number for Suneel Kumar is 1811934839. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Q: What is Suneel Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Suneel Kumar was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment

62.62/100

CMS Quality Rating

1725 E BOULDER ST STE 204, COLORADO SPRINGS, CO 80909(214) 361-9777(214) 891-0084 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 12, 2026, Jul 5, 2017 (2 updates tracked since 2017).

On this page

About Dr. Suneel Kumar M.d. NPPES

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

DR. SUNEEL KUMAR M.D. (NPI 1811934839) is an individual critical care medicine provider in Colorado Springs, Colorado, licensed in Colorado (54935) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mckenzie County Healthcare Systems Inc, and is a graduate of Washington University School Of Medicine (1992).

NPPES Registry Identity

NPI1811934839

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameDR. SUNEEL KUMARCredential: M.D.

Location Address1725 E BOULDER ST STE 204Colorado Springs, CO 80909-5740

Mailing Address1725 E Boulder St Ste 204Colorado Springs, CO 80909-5740 · (214) 361-9777 · Fax (214) 891-0084

Phone(214) 361-9777

Fax(214) 891-0084

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 1992

Enumeration DateMay 31, 2006

Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1811934839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in CO · 54935

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 54935 (CO)

1725 E BOULDER ST STE 204, Colorado Springs, CO 80909

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan, Select Health.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

Dr. Suneel 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 ID2466585294

PECOS Enrollment IDI20190702001908, I20250214003218

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

Medicare enrollment records show Suneel Kumar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Associates

Same address

Pulmonary Disease

1725 E BOULDER ST, SUITE 204
Colorado Springs, CO 80909

Reassigned Medicare billing, Colorado enrollment
18 clinicians in this Medicare group

NPI 1760409676 (719) 471-1069

Salida Hospital District

58 mi

Family Medicine

20180 US HIGHWAY 50
Cotopaxi, CO 81223

Reassigned Medicare billing, Colorado enrollment
Also billed through NPI 1730258971 (Colorado)
206 clinicians in this Medicare group

NPI 1295389328 (719) 530-2000

Lincoln Community Hospital

68 mi

Family Medicine

404 E FRONT ST
Byers, CO 80103

Reassigned Medicare billing, Colorado enrollment
Also billed through NPI 1720107519 (Colorado)
79 clinicians in this Medicare group

NPI 1609507409 (303) 822-5100

Mckenzie County Healthcare Systems Inc

624 mi

Critical Access

709 4TH AVE NE
Watford City, ND 58854

Reassigned Medicare billing, North Dakota enrollment
108 clinicians in this Medicare group

NPI 1518988948 (701) 843-3771

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

335 services250 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

170 services106 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.

113 services113 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

112 services80 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

83 services81 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

79 services77 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

79 services49 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

63 services61 patients

Test to examine how well the lungs exchange gases 94729

31 services31 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

30 services29 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

24 services23 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

23 services22 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

22 services22 patients

Test to measure expiratory airflow and volume 94010

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mckenzie County Healthcare Systems Inc

Critical Access Hospitals · Watford City, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351302

Location709 4th Ave NEWatford City, ND 58854 · Mckenzie County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80909 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

62.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.54

Improvement Activities

Cost

18.43

Referred Medical Equipment & Supplies CMS DME claims 22

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

6 suppliers37 claims37 services$32.66 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

8 suppliers37 claims37 services$83.12 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

8 suppliers36 claims95 services$30.15 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers17 claims66 services$16.06 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers11 claims64 services$12.53 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers25 claims25 services$48.72 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

13 suppliers42 claims42 services$16.03 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

7 suppliers19 claims19 services$13.56 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

13 suppliers55 claims305 services$1.81 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

3 suppliers11 claims11 services$5.94 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

8 suppliers24 claims24 services$10.14 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

7 suppliers90 claims90 services$15.21 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

8 suppliers62 claims62 services$824.52 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

1 supplier11 claims11 services$63.59 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers29 claims29 services$11.15 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers17 claims17 services$3.37 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

8 suppliers76 claims80 services$29.27 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

10 suppliers284 claims284 services$69.18 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers84 claims85 services$32.93 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers16 claims2,601 services$0.03 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

3 suppliers42 claims42 services$32.24 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers15 claims15 services$26.05 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 5

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

NIDA NOUSHEEN AHMED

Internal Medicine (Pulmonary Disease)

1725 E BOULDER ST STE 204
COLORADO SPRINGS, CO 80909

El Paso County (719) 471-1069

DR. STEPHANIE WALKER HARABAGLIA D.O., M.S.

Internal Medicine

1725 E BOULDER ST STE 204
COLORADO SPRINGS, CO 80909

El Paso County (719) 471-1069

RACHEL MERLING NP

Nurse Practitioner

1725 E BOULDER ST STE 204
COLORADO SPRINGS, CO 80909

El Paso County (719) 471-1069

AUBRAE ANNE ISENHART

Internal Medicine (Pulmonary Disease)

1725 E BOULDER ST STE 204
COLORADO SPRINGS, CO 80909

El Paso County (719) 471-1069

DR. CHRISTOPHER MICHAEL MERRICK M.D.

Internal Medicine (Pulmonary Disease)

1725 E BOULDER ST STE 204
COLORADO SPRINGS, CO 80909

El Paso County (719) 471-1069

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 Suneel Kumar's NPI number?

The NPI number for Suneel Kumar is 1811934839. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Suneel Kumar located?

Suneel Kumar practices at 1725 E Boulder St Ste 204, Colorado Springs, CO 80909. The listed phone number is (214) 361-9777.

What is Suneel Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Suneel Kumar enrolled in Medicare?

Yes. Suneel 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 Suneel Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suneel Kumar reassigns Medicare benefits to 4 organizations: Pulmonary Associates (Colorado Springs, CO), Salida Hospital District (Cotopaxi, CO), Lincoln Community Hospital (Byers, CO) and Mckenzie County Healthcare Systems Inc (Watford City, ND). 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 Suneel Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suneel Kumar accept?

Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Select Health list Suneel 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 Suneel Kumar affiliated with any hospitals?

According to CMS data, Suneel Kumar is affiliated with Mckenzie County Healthcare Systems Inc.

When was this NPI record last updated?

The NPPES record for Suneel Kumar was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.