Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHRUTI ADIDAM KUMAR M.B.B.S.
NPI 1861139008
Internal Medicine - Hematology & Oncology in Jacksonville, FL

Q: What is Shruti Adidam Kumar's NPI number?

The NPI number for Shruti Adidam Kumar is 1861139008. It was assigned to this individual provider in the NPPES registry on May 18, 2022.

Q: What is Shruti Adidam Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since May 18, 2022PECOS Enrolled

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 27, 2026, Mar 2, 2023, May 18, 2022 (3 updates tracked since 2022).

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About Shruti Adidam Kumar M.b.b.s. NPPES

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

SHRUTI ADIDAM KUMAR M.B.B.S. (NPI 1861139008) is an individual hematology & oncology provider in Jacksonville, Florida, licensed in Florida (ME179800) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861139008

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameSHRUTI ADIDAM KUMARCredential: M.B.B.S.

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912

Phone(904) 953-2000

Sole ProprietorNo

Enumeration DateMay 18, 2022

Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1861139008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in FL · ME179800

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shruti Adidam Kumar M.b.b.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

KATHERINE L WALSH PA-C/MPH

Physician Assistant