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NEHA KUMAR M.D.
NPI 1841420478
Ophthalmology in Newark, DE

Active since July 16, 2009PECOS EnrolledAccepts Medicare Assignment
314 E MAIN ST STE 302, NEWARK, DE 19711(302) 292-2020(302) 737-6908 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2025, Feb 2, 2017 (2 updates tracked since 2017).

About Neha Kumar M.d. NPPES

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

NEHA KUMAR M.D. (NPI 1841420478) is an individual ophthalmology provider in Newark, Delaware, licensed in Delaware (C10010583) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (2009).

NPPES Registry Identity

NPI1841420478
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameNEHA KUMARCredential: M.D.
Location Address314 E MAIN ST STE 302Newark, DE 19711-7181
Mailing Address314 E Main St Ste 302Newark, DE 19711-7181 · (302) 292-2020 · Fax (302) 737-6908
Phone(302) 292-2020
Fax(302) 737-6908
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2009
Enumeration DateJuly 16, 2009
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1841420478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in DE · C10010583
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
314 E MAIN ST STE 302, Newark, DE 19711
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health 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 and accepts Medicare assignment

Neha Kumar M.d. 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 ID1759525116
PECOS Enrollment IDI20130925000259
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

2

Medicare enrollment records show Neha Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christiana Care Health Services Inc
3.5 mi
Gynecologic Oncology
4701 OGLETOWN STANTON RD, HELEN F. GRAHAM CANCER CENTER WEST, SUITE 2335
Newark, DE 19713
  • Reassigned Medicare billing, Delaware enrollment
  • 1,531 clinicians in this Medicare group
NPI 1174508410 (302) 623-4285
Eye Physicians & Surgeons, PA
11 mi
Ophthalmology
1207 N SCOTT ST
Wilmington, DE 19806
  • Reassigned Medicare billing, Delaware enrollment
  • 13 clinicians in this Medicare group
NPI 1972695435 (302) 652-3353

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 19711 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

Other Providers at the Same Location NPPES

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

EYE PHYSICIANS & SURGEONS, PA
Ophthalmology
314 E MAIN ST STE 302
NEWARK, DE 19711
New Castle County (302) 292-2020

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 Neha Kumar's NPI number?

The NPI number for Neha Kumar is 1841420478. It was assigned to this individual provider in the NPPES registry on July 16, 2009.

Where is Neha Kumar located?

Neha Kumar practices at 314 E Main St Ste 302, Newark, DE 19711. The listed phone number is (302) 292-2020.

What is Neha Kumar's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Neha Kumar enrolled in Medicare?

Yes. Neha 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 Neha Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neha Kumar reassigns Medicare benefits to 2 organizations: Christiana Care Health Services Inc (Newark, DE) and Eye Physicians & Surgeons, PA (Wilmington, DE). 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 Neha Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neha Kumar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 6 other insurers list Neha 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 Neha Kumar was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.