PRAGEET KUMAR
NPI 1821417981
Internal Medicine in Buffalo, NY

Q: What is Prageet Kumar's NPI number?

The NPI number for Prageet Kumar is 1821417981. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Q: What is Prageet Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Prageet Kumar was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 April 15, 2014PECOS EnrolledAccepts Medicare Assignment

462 GRIDER ST, BUFFALO, NY 14215(716) 898-4328 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2024, Apr 22, 2019 (2 updates tracked since 2019).

On this page

About Prageet Kumar NPPES

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

PRAGEET KUMAR (NPI 1821417981) is an individual internal medicine provider in Buffalo, New York, licensed in New York (289955) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1821417981

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePRAGEET KUMAR

Location Address462 GRIDER STBuffalo, NY 14215-3021

Mailing Address462 Grider StBuffalo, NY 14215-3021

Phone(716) 898-4328

Sole ProprietorNo

Medical School CMSState University Of New York Downstate Medical CenterGraduated 2014

Enumeration DateApril 15, 2014

Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration

NPPES CertifiedNovember 21, 2024

✔ NPI 1821417981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 289955

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 289955 (NY)

462 GRIDER ST, Buffalo, NY 14215

Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 241-1653

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

Prageet Kumar 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 ID1850664632

PECOS Enrollment IDI20170829004024

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

Icahn School Of Medicine At Mount Sinai

291 mi

Orthopaedic Surgery

1000 10TH AVE
New York, NY 10019

Reassigned Medicare billing, New York enrollment
769 clinicians in this Medicare group

NPI 1124550280 (212) 523-7594

Hospitalist Medicine Physicians Of New York, PLLC

294 mi

Emergency Medicine

2475 SAINT RAYMONDS AVE
Bronx, NY 10461

Reassigned Medicare billing, New York enrollment
244 clinicians in this Medicare group

NPI 1205944329 (718) 920-8543

North Shore-Lij Medical PC

303 mi

Urology

1010 NORTHERN BLVD STE 110
Great Neck, NY 11021

Reassigned Medicare billing, New York enrollment
9,353 clinicians in this Medicare group

NPI 1053688572 (516) 321-7400

Cogent Medical Care PC

336 mi

Internal Medicine

101 HOSPITAL RD
East Patchogue, NY 11772

Reassigned Medicare billing, New York enrollment
640 clinicians in this Medicare group

NPI 1912941238 (631) 687-4131

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 4

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.

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.

134 services66 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.

40 services38 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.

33 services19 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

32 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330024

LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County

Emergency services Birthing friendly

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330279

Location565 Abbott RoadBuffalo, NY 14220 · Erie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14215 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

MR. V. THOMAS CHAPIN PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

462 GRIDER ST
BUFFALO, NY 14215

Erie County (716) 898-3000

DR. JOHN JACOB HANNIBAL IV M.D.

Student in an Organized Health Care Education/Training Program

462 GRIDER ST
BUFFALO, NY 14215

Erie County (716) 898-4226

HMB PHARMACY MANAGEMENT LLC

Pharmacy (Community/Retail Pharmacy)

462 GRIDER ST, DRIVEWAY 3
BUFFALO, NY 14215

Erie County (716) 332-2866

SARAH MARIE THOMPSON PA-C

Physician Assistant

462 GRIDER ST
BUFFALO, NY 14215

Erie County (716) 698-5375

MATTHEW GARRETT ALBEN DO

Student in an Organized Health Care Education/Training Program

462 GRIDER ST
BUFFALO, NY 14215

Erie County (716) 898-5053

DANNY ISSAM BELMONA MD

Student in an Organized Health Care Education/Training Program

462 GRIDER ST
BUFFALO, NY 14215

Erie County (716) 898-3000

MR. KENNETH L DZIALAK COTA

Occupational Therapy Assistant

462 GRIDER ST
BUFFALO, NY 14215

Erie County (716) 898-3575

MS. ZENA SONDRA HYMAN NP

Nurse Practitioner (Adult Health)

462 GRIDER ST
BUFFALO, NY 14215

Erie County (716) 898-3000

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 Prageet Kumar's NPI number?

The NPI number for Prageet Kumar is 1821417981. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Prageet Kumar located?

Prageet Kumar practices at 462 Grider St, Buffalo, NY 14215. The listed phone number is (716) 898-4328.

What is Prageet Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prageet Kumar enrolled in Medicare?

Yes. Prageet 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 Prageet Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prageet Kumar reassigns Medicare benefits to 4 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY), Hospitalist Medicine Physicians Of New York, PLLC (Bronx, NY), North Shore-Lij Medical PC (Great Neck, NY) and Cogent Medical Care PC (East Patchogue, NY). 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 Prageet Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Prageet Kumar affiliated with any hospitals?

According to CMS data, Prageet Kumar is affiliated with Mount Sinai Hospital and Mercy Hospital Of Buffalo.

When was this NPI record last updated?

The NPPES record for Prageet Kumar was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.