KAVITA TUMMA M.D.
NPI 1871569095
Internal Medicine - Gastroenterology in Port Huron, MI

Q: What is Kavita Tumma's NPI number?

The NPI number for Kavita Tumma is 1871569095. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Q: What is Kavita Tumma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Kavita Tumma was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment

1231 PINE GROVE AVE, SUITE 2A, PORT HURON, MI 48060(810) 982-8742(810) 984-8291 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 13, 2017, Feb 14, 2017 (2 updates tracked since 2017).

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About Kavita Tumma M.d. NPPES

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

KAVITA TUMMA M.D. (NPI 1871569095) is an individual gastroenterology provider in Port Huron, Michigan, licensed in Michigan (4301060393) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1871569095

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameKAVITA TUMMACredential: M.D.

Location Address1231 PINE GROVE AVE, SUITE 2APort Huron, MI 48060-3500

Mailing Address1231 Pine Grove Ave, Suite 2aPort Huron, MI 48060-3500 · (810) 982-8742 · Fax (810) 984-8291

Phone(810) 982-8742

Fax(810) 984-8291

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateFebruary 27, 2006

Last NPPES UpdateMarch 13, 20172 updates tracked since enumeration

✔ NPI 1871569095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MI · 4301060393

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1231 PINE GROVE AVE, Port Huron, MI 48060

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Other Identifiers 2

Medicaid1871569095MI

Medicare UPING79823

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

Kavita Tumma M.d. 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 ID1153458484

PECOS Enrollment IDI20100419000638

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

Medicare enrollment records show Kavita Tumma reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mclaren Port Huron

0.1 mi

Family Medicine

1221 PINE GROVE AVE
Port Huron, MI 48060

Reassigned Medicare billing, Michigan enrollment
87 clinicians in this Medicare group

NPI 1619355930 (810) 987-5000

Physician Healthcare Network, PC

6.4 mi

Family Medicine

3350 GRATIOT BLVD
Marysville, MI 48040

Reassigned Medicare billing, Michigan enrollment
26 clinicians in this Medicare group

NPI 1750334405 (810) 364-4000

Deckerville Community Hospital, Inc

32 mi

Clinic/Center

245 S RIDGE ST
Port Sanilac, MI 48469

Reassigned Medicare billing, Michigan enrollment
154 clinicians in this Medicare group

NPI 1013799469 (810) 376-2835

Marlette Regional Hospital

40 mi

General Practice

2985 MAIN ST
Marlette, MI 48453

Reassigned Medicare billing, Michigan enrollment
155 clinicians in this Medicare group

NPI 1043911449 (989) 635-4000

Hills & Dales General Hospital, Inc.

57 mi

Psychiatry

4624 HILL ST
Cass City, MI 48726

Reassigned Medicare billing, Michigan enrollment
156 clinicians in this Medicare group

NPI 1952120859 (989) 872-2121

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 19

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

302 services249 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

256 services253 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.

248 services200 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

184 services183 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

158 services158 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.

134 services73 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.

110 services100 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

97 services97 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

82 services82 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

63 services63 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

62 services62 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

22 services21 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

19 services19 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.

19 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

18 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

16 services14 patients

Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43270

This procedure involves using a flexible tool called an endoscope to identify and remove abnormal growths or polyps in the esophagus, stomach, or upper small bowel. It's a safe way to prevent these growths from causing health issues.

13 services13 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

13 services13 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230031

Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County

Emergency services

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230216

Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County

Emergency services Birthing friendly

Deckerville Community Hospital

Critical Access Hospitals · Deckerville, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231311

Location3559 Pine StDeckerville, MI 48427 · Sanilac County

Emergency services

Harbor Beach Community Hospital

Critical Access Hospitals · Harbor Beach, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231313

Location210 S First StHarbor Beach, MI 48441 · Huron County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $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.

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.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims319 services$4.83 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims5,945 services$0.26 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 14

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

SAMIR ALSAWAH MD

Internal Medicine (Hematology & Oncology)

1231 PINE GROVE AVE, STE 2F
PORT HURON, MI 48060

St. Clair County (810) 982-5200

ALI H HAIDAR M.D.

Internal Medicine (Pulmonary Disease)

1231 PINE GROVE AVE, SUITE 2B
PORT HURON, MI 48060

St. Clair County (810) 987-5500

DR. JODY A BRITZ DNP, FNP-BC

Nurse Practitioner (Adult Health)

1231 PINE GROVE AVE, SUITE 2B
PORT HURON, MI 48060

St. Clair County (810) 987-5500

ANUP LAL MD

Internal Medicine (Hematology & Oncology)

1231 PINE GROVE AVE, STE 2F
PORT HURON, MI 48060

St. Clair County (810) 982-5200

DR. LEONARD T KARADIMAS DO

Orthopaedic Surgery

1231 PINE GROVE AVE, SUITE 1A
PORT HURON, MI 48060

St. Clair County (810) 985-4300

DR. HUSSEIN ALI HAIDAR MD

Internal Medicine (Pulmonary Disease)

1231 PINE GROVE AVE
PORT HURON, MI 48060

St. Clair County (810) 987-5500

JOHN V BROOKS M.D.

Internal Medicine (Infectious Disease)

1231 PINE GROVE AVE, INFECTIOUS DISEASE, SUITE 1B
PORT HURON, MI 48060

St. Clair County (810) 966-1993

ADVANCED ORTHOPEDICS PHYSICAL THERAPY PLLC

Physical Medicine & Rehabilitation

1231 PINE GROVE AVE, SUITE 1A
PORT HURON, MI 48060

St. Clair County (810) 985-6300

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 Kavita Tumma's NPI number?

The NPI number for Kavita Tumma is 1871569095. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Kavita Tumma located?

Kavita Tumma practices at 1231 Pine Grove Ave Suite 2A, Port Huron, MI 48060. The listed phone number is (810) 982-8742.

What is Kavita Tumma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kavita Tumma enrolled in Medicare?

Yes. Kavita Tumma 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 Kavita Tumma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kavita Tumma reassigns Medicare benefits to 5 organizations: Mclaren Port Huron (Port Huron, MI), Physician Healthcare Network, PC (Marysville, MI), Deckerville Community Hospital, Inc (Port Sanilac, MI), Marlette Regional Hospital (Marlette, MI) and Hills & Dales General Hospital, Inc. (Cass City, MI). 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 Kavita Tumma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kavita Tumma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kavita Tumma 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 Kavita Tumma affiliated with any hospitals?

According to CMS data, Kavita Tumma is affiliated with Lake Huron Medical Center, Mclaren Port Huron, Deckerville Community Hospital and Harbor Beach Community Hospital.

When was this NPI record last updated?

The NPPES record for Kavita Tumma was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.