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DR. AJOY KUMAR MD
NPI 1831238872
Family Medicine in Rio Rancho, NM

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
4005 HIGH RESORT BLVD SE, RIO RANCHO, NM 87124(505) 462-6000(505) 462-8472 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ajoy Kumar Md NPPES

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

DR. AJOY KUMAR MD (NPI 1831238872) is an individual family medicine provider in Rio Rancho, New Mexico, licensed in New Mexico (MD2009-0603) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1831238872
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AJOY KUMARCredential: MD
Location Address4005 HIGH RESORT BLVD SERio Rancho, NM 87124-5906
Mailing Address4005 High Resort Blvd SeRio Rancho, NM 87124-5906 · (505) 462-6000 · Fax (505) 462-8472
Phone(505) 462-6000
Fax(505) 462-8472
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateFebruary 6, 2007
Last NPPES UpdateMarch 31, 2023
NPPES CertifiedMarch 31, 2023
✔ NPI 1831238872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NM · MD2009-0603✔ Licensed in NM · 2006-0336
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4005 HIGH RESORT BLVD SE, Rio Rancho, NM 87124
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Other Identifiers 2

Medicaid89806077NM
OtherNPI NUMBERNM · Bcbs Of Nm

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Dr. Ajoy 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 ID1557409091
PECOS Enrollment IDI20230710001583
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 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.

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.
166 services107 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
112 services73 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.
25 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87124 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers17 claims53 services$6.73 avg. paid by Medicare
Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each A7509
DME-Orthotic Devices · category DF000N
1 supplier12 claims1,298 services$1.21 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
3 suppliers40 claims40 services$16.19 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
6 suppliers54 claims54 services$70.66 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 20

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

SHAE RAY
Registered Nurse (Ambulatory Care)
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
JENNIFER DELGADO FELIPA MD
Family Medicine (Geriatric Medicine)
4005 HIGH RESORT BLVD SE, INTERNAL MEDICINE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
REBECCA LYNN BOURBON P.A.-C
Physician Assistant
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
HEATHER ANN BUNDRANT RN
Registered Nurse (Ambulatory Care)
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 864-5454
DAVID ALLEN ZARIKTA CNP
Nurse Practitioner
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
DREW TOWLES
Pediatrics
4005 HIGH RESORT BLVD SE, PEDIATRICS
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
MARLENE EMBER-BARTOLOMEI CNP
Nurse Practitioner (Family)
4005 HIGH RESORT BLVD SE, PMG HIGH RESORT 4005
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
DR. JONATHAN FORREST GOLDSTONE MD
Family Medicine
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000

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 Ajoy Kumar's NPI number?

The NPI number for Ajoy Kumar is 1831238872. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Ajoy Kumar located?

Ajoy Kumar practices at 4005 High Resort Blvd SE, Rio Rancho, NM 87124. The listed phone number is (505) 462-6000.

What is Ajoy Kumar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ajoy Kumar enrolled in Medicare?

Yes. Ajoy 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 Ajoy Kumar accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Ajoy 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 Ajoy Kumar was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.