NITIN KUMAR M.D
NPI 1831577055
Pediatrics in Yardley, PA
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
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nitin Kumar M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nitin Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Yardley, PA 19067
- Reassigned Medicare billing, Pennsylvania enrollment
- 479 clinicians in this Medicare group
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 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Nitin Kumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nitin Kumar reassigns Medicare benefits to Stc Pediatrics LLC (Yardley, PA). 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 Nitin Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Nitin Kumar, M.D · NPI 1831577055
Pediatrics physician in Yardley, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 7, 2015.
## Identity
- **NPI:** 1831577055 (Entity type: Individual)
- **Enumerated:** May 7, 2015
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD464707 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 680 HEACOCK RD STE 101, Yardley, PA 19067-6346
- **Phone:** (215) 493-8080
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Stc Pediatrics LLC (NPI 1811532518, Yardley, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1831577055) · Data from the CMS NPPES public registry.