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NITIN KUMAR M.D
NPI 1831577055
Pediatrics in Yardley, PA

Active since May 07, 2015PECOS Enrolled
680 HEACOCK RD STE 101, YARDLEY, PA 19067(215) 493-8080 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2021, Aug 16, 2018 (2 updates tracked since 2018).

About Nitin Kumar M.d NPPES

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

NITIN KUMAR M.D (NPI 1831577055) is an individual pediatrics provider in Yardley, Pennsylvania, licensed in Pennsylvania (MD464707) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831577055
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameNITIN KUMARCredential: M.D
Location Address680 HEACOCK RD STE 101Yardley, PA 19067-6346
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Phone(215) 493-8080
Sole ProprietorNo
Enumeration DateMay 7, 2015
Last NPPES UpdateAugust 3, 20232 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
✔ NPI 1831577055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD464707
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
680 HEACOCK RD STE 101, Yardley, PA 19067
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12500 Metrohealth DrCleveland, OH 44109 · Phone (724) 201-5180
Location 21001 E 2nd StCoudersport, PA 16915-8161 · Phone (814) 274-9198

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nitin Kumar M.d 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19067 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 5

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

DR. RANDOLPH JOHN MILLER MD
Pediatrics
680 HEACOCK RD STE 101
YARDLEY, PA 19067
Bucks County (215) 493-6519
DR. KATHERINE ANNE GARGIULO M.D.
Pediatrics
680 HEACOCK RD STE 101
YARDLEY, PA 19067
Bucks County (215) 493-8040
STC PEDIATRICS LLC
Pediatrics
680 HEACOCK RD STE 101
YARDLEY, PA 19067
Bucks County (215) 493-6519
GABRIELLE JEANNE COSTELLO M.D.
Pediatrics
680 HEACOCK RD STE 101
YARDLEY, PA 19067
Bucks County (215) 493-6519
BLAIR DICKINSON M.D.
Pediatrics
680 HEACOCK RD STE 101
YARDLEY, PA 19067
Bucks County (215) 493-8080

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 Nitin Kumar's NPI number?

The NPI number for Nitin Kumar is 1831577055. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Where is Nitin Kumar located?

Nitin Kumar practices at 680 Heacock Rd Ste 101, Yardley, PA 19067. The listed phone number is (215) 493-8080.

What is Nitin Kumar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nitin Kumar enrolled in Medicare?

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

What insurance does Nitin Kumar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nitin 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 Nitin Kumar was last updated on August 3, 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.