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AJAY KUMAR MD
NPI 1851777577
Internal Medicine - Endocrinology, Diabetes & Metabolism in Cleveland, OH

Active since August 04, 2015PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
2351 E 22ND ST, CLEVELAND, OH 44115(216) 363-2725(216) 363-2721 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2025, May 26, 2023 (2 updates tracked since 2023).

About Ajay Kumar Md NPPES

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

AJAY KUMAR MD (NPI 1851777577) is an individual endocrinology, diabetes & metabolism provider in Cleveland, Ohio, licensed in Indiana (01089385B) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and maintains a secondary practice location in Muncie.

NPPES Registry Identity

NPI1851777577
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameAJAY KUMARCredential: MD
Location Address2351 E 22ND STCleveland, OH 44115-3111
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959 · (317) 963-4171
Phone(216) 363-2725
Fax(216) 363-2721
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 4, 2015
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1851777577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in IN · 01089385B
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01089385A (IN)
2351 E 22ND ST, Cleveland, OH 44115
Open in Google Maps ↗

Secondary Practice Location 1

Location 12401 W University AveMuncie, IN 47303-3428 · Phone (765) 741-1515

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Insurance Corporation of Ohio.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

Ajay 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 ID6204181167
PECOS Enrollment IDI20180618000425, I20230302001639
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 10

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,520 services27 patients
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.
421 services228 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
237 services103 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.
168 services168 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
125 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
122 services72 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

Scott Memorial Health

Critical Access Hospitals · Scottsburg, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number151334
Location1451 N Gardner StScottsburg, IN 47170 · Scott County
Emergency services

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44115 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
1 supplier11 claims11 services$55.79 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$27.18 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.

DR. GRACE ANN MALTBIE MD
Radiology (Nuclear Radiology)
2351 E 22ND ST
CLEVELAND, OH 44115
Cuyahoga County (216) 861-6200
TODD A STORCH PA-C
Physician Assistant
2351 E 22ND ST
CLEVELAND, OH 44115
Cuyahoga County (216) 861-6200
ANKUR SINGAL DO
Emergency Medicine
2351 E 22ND ST
CLEVELAND, OH 44115
Cuyahoga County (216) 861-6200
DR. IMRAN ABUHAMDEH MD
Radiology (Diagnostic Radiology)
2351 E 22ND ST
CLEVELAND, OH 44115
Cuyahoga County (216) 861-6200
EMERGENCY PROFESSIONAL SERVICES
Personal Emergency Response Attendant
2351 E 22ND ST
CLEVELAND, OH 44115
Cuyahoga County (216) 861-6200
LAURIE S SADLER MD
Internal Medicine
2351 E 22ND ST, LIPID CLINIC
CLEVELAND, OH 44115
Cuyahoga County (216) 363-2732
DR. KAMRAN ADIBI MD
Internal Medicine
2351 E 22ND ST
CLEVELAND, OH 44115
Cuyahoga County (216) 861-6200
MICHELLE HERSHBINE RPH
Pharmacist
2351 E 22ND ST
CLEVELAND, OH 44115
Cuyahoga County (216) 694-4629

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 Ajay Kumar's NPI number?

The NPI number for Ajay Kumar is 1851777577. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Where is Ajay Kumar located?

Ajay Kumar practices at 2351 E 22nd St, Cleveland, OH 44115. The listed phone number is (216) 363-2725.

What is Ajay Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Ajay Kumar enrolled in Medicare?

Yes. Ajay 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 Ajay Kumar accept?

Health plans from CareSource and Oscar Insurance Corporation of Ohio list Ajay 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.

Is Ajay Kumar affiliated with any hospitals?

According to CMS data, Ajay Kumar is affiliated with Baptist Health Floyd, Scott Memorial Health, Baptist Health Lagrange, Akron General Medical Center and Adena Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ajay Kumar was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.