ISHANI KUMAR
NPI 1871020453
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Philadelphia, PA

Active since May 15, 2017PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC HEADACHE MEDICINE, PHILADELPHIA, PA 19104(215) 590-1722 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 13, 2026, May 15, 2017 (2 updates tracked since 2017).

About Ishani Kumar NPPES

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

ISHANI KUMAR (NPI 1871020453) is an individual neurology with special qualifications in child neurology provider in Philadelphia, Pennsylvania, licensed in Texas (U4550) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2026).

NPPES Registry Identity

NPI1871020453
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameISHANI KUMAR
Location Address3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC HEADACHE MEDICINEPhiladelphia, PA 19104
Mailing Address3401 Civic Center Blvd, Division Of Pediatric Headache MedicinePhiladelphia, PA 19104 · (215) 590-1722
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2026
Enumeration DateMay 15, 2017
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1871020453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in TX · U4550
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License 4301112373 (MI)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Ishani 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 ID2365711645
PECOS Enrollment IDI20250305004094
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 Reassignment

Medicare enrollment records show Ishani Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Medicine & Rehabilitation
1000 S BECKHAM AVE
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

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 Ishani Kumar's NPI number?

The NPI number for Ishani Kumar is 1871020453. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Where is Ishani Kumar located?

Ishani Kumar practices at 3401 Civic Center Blvd Division Of Pediatric Headache Medicine, Philadelphia, PA 19104. The listed phone number is (215) 590-1722.

What is Ishani Kumar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Ishani Kumar enrolled in Medicare?

Yes. Ishani 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 organization bills Medicare for Ishani Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ishani Kumar reassigns Medicare benefits to The University Of Texas Southwestern Medical Center At Dallas (Tyler, TX). The 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 Ishani Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ishani Kumar accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ishani 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 Ishani Kumar was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.