SHEKAR P KUMAR MD
NPI 1811978661
Internal Medicine - Cardiovascular Disease in Greenwood, SC

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
421 EPTING AVE, GREENWOOD, SC 29646(864) 227-6818(864) 227-1037 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2021, Apr 1, 2016 (2 updates tracked since 2016).

About Shekar P Kumar Md NPPES

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

SHEKAR P KUMAR MD (NPI 1811978661) is an individual cardiovascular disease provider in Greenwood, South Carolina, licensed in South Carolina (30252) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Laurens County Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1811978661
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSHEKAR P KUMARCredential: MD
Location Address421 EPTING AVEGreenwood, SC 29646-4041
Mailing Address421 Epting AveGreenwood, SC 29646-4041 · (864) 227-6818 · Fax (864) 227-1037
Fax(864) 227-1037
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 9, 2005
Last NPPES UpdateAugust 19, 20252 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
NPI 1811978661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in SC · 30252
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 30252 (SC)
421 EPTING AVE, Greenwood, SC 29646

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

Shekar P 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 ID8224937479
PECOS Enrollment IDI20071018000229
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 45

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,859 services1,048 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
662 services638 patients
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.
476 services411 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.
258 services129 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
226 services198 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
216 services183 patients

Hospital Affiliations CMS Care Compare 5

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

Prisma Health Laurens County Hospital

Acute Care Hospitals · Clinton, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420038
Location22725 Highway 76 EastClinton, SC 29325 · Laurens County
Emergency services Birthing friendly

Newberry County Memorial Hospital

Acute Care Hospitals · Newberry, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number420053
Location2669 Kinard St PO Box 497Newberry, SC 29108 · Newberry County
Emergency services Birthing friendly

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Abbeville Area Medical Center

Critical Access Hospitals · Abbeville, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number421301
Location420 Thomson CircleAbbeville, SC 29620 · Abbeville County
Emergency services

Edgefield County Healthcare An Affiliate Of Self R

Critical Access Hospitals · Edgefield, SC
OwnershipGovernment - Local
CMS Certification Number421304
Location300 Ridge Medical PlazaEdgefield, SC 29824 · Edgefield County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29646 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Cardiovascular Disease)
421 EPTING AVE
GREENWOOD, SC 29646
Internal Medicine (Cardiovascular Disease)
421 EPTING AVE
GREENWOOD, SC 29646
Nurse Practitioner
421 EPTING AVE
GREENWOOD, SC 29646
Nurse Practitioner (Family)
421 EPTING AVE
GREENWOOD, SC 29646
Nurse Practitioner
421 EPTING AVE
GREENWOOD, SC 29646
Internal Medicine (Cardiovascular Disease)
421 EPTING AVE
GREENWOOD, SC 29646
Internal Medicine (Cardiovascular Disease)
421 EPTING AVE
GREENWOOD, SC 29646
Internal Medicine (Cardiovascular Disease)
421 EPTING AVE
GREENWOOD, SC 29646

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 Shekar Kumar's NPI number?

The NPI number for Shekar Kumar is 1811978661. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Shekar Kumar located?

Shekar Kumar practices at 421 Epting Ave, Greenwood, SC 29646. The listed phone number is (864) 227-6818.

What is Shekar Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Shekar Kumar enrolled in Medicare?

Yes. Shekar 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 Shekar Kumar accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Shekar 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 Shekar Kumar affiliated with any hospitals?

According to CMS data, Shekar Kumar is affiliated with Prisma Health Laurens County Hospital, Newberry County Memorial Hospital, Self Regional Healthcare, Abbeville Area Medical Center and Edgefield County Healthcare An Affiliate Of Self R.

When was this NPI record last updated?

The NPPES record for Shekar Kumar was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.