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DR. MONIQUE GUPTA KUMAR MD
NPI 1821227133
Dermatology - Pediatric Dermatology in Orlando, FL

Active since July 08, 2009PECOS Enrolled
78.01/100
CMS Quality Rating
615 E PRINCETON ST STE 416, ORLANDO, FL 32803(407) 303-1687(407) 303-1729 Get Directions Write a Review

NPPES record last updated: October 23, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Monique Gupta Kumar Md NPPES

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

DR. MONIQUE GUPTA KUMAR MD (NPI 1821227133) is an individual pediatric dermatology provider in Orlando, Florida, licensed in Florida (ME127776) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821227133
Entity TypeIndividualFemale
Primary Taxonomy207NP0225X
Provider Legal NameDR. MONIQUE GUPTA KUMARCredential: MD
Location Address615 E PRINCETON ST STE 416Orlando, FL 32803-1469
Mailing Address615 E Princeton St Ste 416Orlando, FL 32803-1469 · (407) 303-1687 · Fax (407) 303-1729
Phone(407) 303-1687
Fax(407) 303-1729
Sole ProprietorNo
Enumeration DateJuly 8, 2009
Last NPPES UpdateOctober 23, 2016
✔ NPI 1821227133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NP0225X
License✔ Licensed in FL · ME127776
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
Also ListedDermatologyTaxonomy 207N00000X · License 2013012520 (MO)
615 E PRINCETON ST STE 416, Orlando, FL 32803
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Monique Gupta Kumar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Monique Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Hospital Medical Group Inc
1.8 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32803 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Other Providers at the Same Location NPPES 2

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

JACEY L MCMAHAN APRN
Nurse Practitioner
615 E PRINCETON ST STE 416
ORLANDO, FL 32803
Orange County (407) 303-1687
ALEXANDRA STAVROS APRN
Dermatology (Pediatric Dermatology)
615 E PRINCETON ST STE 416
ORLANDO, FL 32803
Orange County (630) 740-1404

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 Monique Kumar's NPI number?

The NPI number for Monique Kumar is 1821227133. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Where is Monique Kumar located?

Monique Kumar practices at 615 E Princeton St Ste 416, Orlando, FL 32803. The listed phone number is (407) 303-1687.

What is Monique Kumar's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Is Monique Kumar enrolled in Medicare?

Yes. Monique Kumar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Monique Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monique Kumar reassigns Medicare benefits to Florida Hospital Medical Group Inc (Orlando, FL). 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 Monique Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monique Kumar accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Monique 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 Monique Kumar was last updated on October 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.