SUMEET KUMAR DO
NPI 1861649527
Psychiatry & Neurology - Neurology in Atlanta, GA
About Sumeet Kumar Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMEET KUMAR DO (NPI 1861649527) is an individual neurology provider in Atlanta, Georgia, licensed in Georgia (87726) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Ohio University, College Of Osteopathic Medicine (2003).
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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
Sumeet Kumar Do 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.
Medicare Billing Reassignments
5Medicare enrollment records show Sumeet Kumar reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 783 clinicians in this Medicare group
Tifton, GA 31794
- Reassigned Medicare billing, Georgia enrollment
- 380 clinicians in this Medicare group
Savannah, GA 31404
- Reassigned Medicare billing, Georgia enrollment
- 19 clinicians in this Medicare group
San Antonio, TX 78216
- Reassigned Medicare billing, Texas enrollment
- 688 clinicians in this Medicare group
Greenwood Vlg, CO 80111
- Reassigned Medicare billing, Texas enrollment
- 71 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Forsyth
Acute Care Hospitals · Cumming, GATift Regional Medical Center
Acute Care Hospitals · Tifton, GAChristus Santa Rosa Medical Center
Acute Care Hospitals · San Antonio, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 9
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
ATLANTA, GA 30342
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 Sumeet Kumar's NPI number?
The NPI number for Sumeet Kumar is 1861649527. It was assigned to this individual provider in the NPPES registry on August 25, 2008.
Where is Sumeet Kumar located?
Sumeet Kumar practices at 1000 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (404) 851-8000.
What is Sumeet Kumar's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Sumeet Kumar enrolled in Medicare?
Yes. Sumeet 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 Sumeet Kumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sumeet Kumar reassigns Medicare benefits to 5 organizations: North Atlanta Professional Services LLC (Atlanta, GA), Tift Regional Health System, Inc (Tifton, GA), Carepoint Inpatient Blue Sky Neurology Georgia PLLC (Savannah, GA), Ipc Healthcare Services Of Texas, PLLC (San Antonio, TX) and Carepoint Inpatient Blue Sky Neurology - Texas, PLLC (Greenwood Vlg, CO). 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 Sumeet Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sumeet Kumar accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Sumeet 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 Sumeet Kumar affiliated with any hospitals?
According to CMS data, Sumeet Kumar is affiliated with Northside Hospital Forsyth, Tift Regional Medical Center and Christus Santa Rosa Medical Center.
When was this NPI record last updated?
The NPPES record for Sumeet Kumar was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Sumeet Kumar, DO · NPI 1861649527
Neurology physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since August 25, 2008.
## Identity
- **NPI:** 1861649527 (Entity type: Individual)
- **Enumerated:** August 25, 2008
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 87726 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1000 JOHNSON FERRY RD, Atlanta, GA 30342-1606
- **Phone:** (404) 851-8000 · **Fax:** (404) 303-3759
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): North Atlanta Professional Services LLC (NPI 1316959869, Atlanta, GA); Tift Regional Health System, Inc (NPI 1861022329, Tifton, GA); Carepoint Inpatient Blue Sky Neurology Georgia PLLC (NPI 1841979036, Savannah, GA); Ipc Healthcare Services Of Texas, PLLC (NPI 1023403011, San Antonio, TX); Carepoint Inpatient Blue Sky Neurology - Texas, PLLC (NPI 1952908725, Greenwood Vlg, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio University, College Of Osteopathic Medicine, class of 2003
## Record status
- **NPPES last updated:** December 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1861649527) · Data from the CMS NPPES public registry.