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VIKASH KUMAR
NPI 1861045981
Internal Medicine in Morgantown, WV

Active since July 17, 2019PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506(855) 988-2273 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 8, 2022, Jul 17, 2019 (2 updates tracked since 2019).

About Vikash Kumar NPPES

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

VIKASH KUMAR (NPI 1861045981) is an individual internal medicine provider in Morgantown, West Virginia, licensed in West Virginia (31327) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1861045981
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVIKASH KUMAR
Location Address1 MEDICAL CENTER DRMorgantown, WV 26506-1200
Mailing Address1 Medical Center DrMorgantown, WV 26506-1200 · (855) 988-2273
Phone(855) 988-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 17, 2019
Last NPPES UpdateDecember 8, 20222 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1861045981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 31327
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1 MEDICAL CENTER DR, Morgantown, WV 26506
Open in Google Maps ↗

Accepted Insurance

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

Vikash Kumar 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 ID8123498268
PECOS Enrollment IDI20230105001565, I20241007001269
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 Vikash Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Virginia University Medical Corporation
Same address
Family Medicine
1 MEDICAL CENTER DRIVE
Morgantown, WV 26506
  • Reassigned Medicare billing, West Virginia enrollment
  • 2,471 clinicians in this Medicare group
NPI 1275504508 (304) 598-4800
Fayette Physician Network Inc
14 mi
Family Medicine
25 MAIN ST
Smithfield, PA 15478
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 398 clinicians in this Medicare group
NPI 1588066765 (724) 569-1420

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

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.
128 services77 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.
118 services76 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
51 services50 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services23 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
23 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210017
Location251 North Fourth StreetOakland, MD 21550 · Garrett County
Emergency services Birthing friendly

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26506 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 20

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

MIKE LEE MD, MS, BS
Radiology (Neuroradiology)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4051
ERIC ALLEN
Nurse Practitioner (Pediatrics, Critical Care)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (855) 988-2273
ISLAM YOUNES
Internal Medicine
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (855) 988-2273
TERESA SOLIMANDO FNP-C
Nurse Practitioner
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-1111
RODRIGO GABRIEL BEJARANO CASTRO MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-6127
MOLLIE SIMONTON
Speech-Language Pathologist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
CHEYENNE BARR FNP-BC
Nurse Practitioner (Family)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
MARLEAH SCHLICK
Pharmacist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4148

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 Vikash Kumar's NPI number?

The NPI number for Vikash Kumar is 1861045981. It was assigned to this individual provider in the NPPES registry on July 17, 2019.

Where is Vikash Kumar located?

Vikash Kumar practices at 1 Medical Center Dr, Morgantown, WV 26506. The listed phone number is (855) 988-2273.

What is Vikash Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vikash Kumar enrolled in Medicare?

Yes. Vikash 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 Vikash Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vikash Kumar reassigns Medicare benefits to 2 organizations: West Virginia University Medical Corporation (Morgantown, WV) and Fayette Physician Network Inc (Smithfield, PA). 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 Vikash Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vikash Kumar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Vikash 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 Vikash Kumar affiliated with any hospitals?

According to CMS data, Vikash Kumar is affiliated with Garrett Regional Medical Center, Uniontown Hospital and West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Vikash Kumar was last updated on December 8, 2022. 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.