DR. RAJIV KUMAR MD
NPI 1851376966
Ophthalmology in Arvada, CO

Q: What is Rajiv Kumar's NPI number?

The NPI number for Rajiv Kumar is 1851376966. It was assigned to this individual provider in the NPPES registry on December 12, 2005.

Q: What is Rajiv Kumar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rajiv Kumar was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 December 12, 2005PECOS EnrolledAccepts Medicare Assignment

79.74/100

CMS Quality Rating

7950 KIPLING ST STE 203, ARVADA, CO 80005(303) 422-2305(303) 422-8605 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Jan 14, 2022 (2 updates tracked since 2022).

On this page

About Dr. Rajiv Kumar Md NPPES

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

DR. RAJIV KUMAR MD (NPI 1851376966) is an individual ophthalmology provider in Arvada, Colorado, licensed in Colorado (43472) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of University Of Utah School Of Medicine (2000).

NPPES Registry Identity

NPI1851376966

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. RAJIV KUMARCredential: MD

Location Address7950 KIPLING ST STE 203Arvada, CO 80005-3928

Mailing Address7950 Kipling St Ste 203Arvada, CO 80005-3928 · (303) 422-2305 · Fax (303) 422-8605

Phone(303) 422-2305

Fax(303) 422-8605

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2000

Enumeration DateDecember 12, 2005

Last NPPES UpdateMay 12, 20252 updates tracked since enumeration

NPPES CertifiedMay 12, 2025

✔ NPI 1851376966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CO · 43472

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.

7950 KIPLING ST STE 203, Arvada, CO 80005

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Secondary Practice Locations 6

Location 113772 Denver West Pkwy, Bldg#55 Ste #100Lakewood, CO 80401-3139 · Phone (303) 279-6600 · Fax (303) 279-9140

Location 22555 E 13th St Ste 225Loveland, CO 80537-5133 · Phone (970) 837-3339

Location 31725 E Prospect RdFort Collins, CO 80525-1307 · Phone (970) 837-3339

Location 41701 61st AveGreeley, CO 80634-7989 · Phone (970) 837-3339

Location 53151 Precision DrFort Collins, CO 80528-4601 · Phone (970) 837-3339

Location 66125 Sky Pond Dr Ste 160Loveland, CO 80538-9372 · Phone (970) 837-3339

Other Identifiers 3

OtherP00301879CO · Railroad Medicare

Other803092CO · Medicare Legacy

Medicaid56878311CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Rajiv 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 ID9638147523

PECOS Enrollment IDI20050920000333

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 11

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.

213 services211 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.

200 services156 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

77 services75 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

64 services38 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

50 services32 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

50 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80005 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.74/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

99.71

Promoting Interoperability

Improvement Activities

Cost

40.25

Other Providers at the Same Location NPPES 3

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

ARVADA EYE ASSOCIATES LLP

Ophthalmology

7950 KIPLING ST STE 203
ARVADA, CO 80005

Jefferson County (303) 422-2305

COLORADO EYE ASSOCIATES

Ophthalmology

7950 KIPLING ST STE 203
ARVADA, CO 80005

Jefferson County (303) 422-2305

JARED G SMEDLEY MD

Ophthalmology

7950 KIPLING ST STE 203
ARVADA, CO 80005

Jefferson County (303) 422-2305

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 Rajiv Kumar's NPI number?

The NPI number for Rajiv Kumar is 1851376966. It was assigned to this individual provider in the NPPES registry on December 12, 2005.

Where is Rajiv Kumar located?

Rajiv Kumar practices at 7950 Kipling St Ste 203, Arvada, CO 80005. The listed phone number is (303) 422-2305.

What is Rajiv Kumar's specialty?

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

Is Rajiv Kumar enrolled in Medicare?

Yes. Rajiv 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 Rajiv Kumar accept?

Health plans from Providence Health Plan list Rajiv 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 Rajiv Kumar was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.