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DR. HARESH KUMAR M.D
NPI 1881140119
Internal Medicine - Nephrology in York, PA

Active since August 28, 2016PECOS EnrolledAccepts Medicare Assignment
292 SAINT CHARLES WAY, YORK, PA 17402(717) 851-6040 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Aug 4, 2025, Apr 7, 2025 and 4 more (7 updates tracked since 2016).

About Dr. Haresh Kumar M.d NPPES

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

DR. HARESH KUMAR M.D (NPI 1881140119) is an individual nephrology provider in York, Pennsylvania, licensed in Pennsylvania (MD482344) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Evangelical Community Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1881140119
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. HARESH KUMARCredential: M.D
Location Address292 SAINT CHARLES WAYYork, PA 17402-4648
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 851-6040
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 28, 2016
Last NPPES UpdateSeptember 11, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1881140119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · MD482344
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301110868 (MI), 0101272073 (VA), MD482344 (PA)
Also ListedHospitalistTaxonomy 208M00000X · License 0101272073 (VA)

Secondary Practice Locations 7

Location 1252 S 4th StLebanon, PA 17042-6111 · Phone (717) 270-4876
Location 2169 Martin AveEphrata, PA 17522-1734 · Phone (717) 721-4740 · Fax (717) 738-6872
Location 3501 E Main StWaynesboro, PA 17268-2353 · Phone (717) 765-4000 · Fax (717) 765-3669
Location 4112 N 7th StChambersburg, PA 17201-1720 · Phone (717) 217-4300 · Fax (717) 217-4217
Location 5147 Gettys StGettysburg, PA 17325-2534 · Phone (717) 339-2025 · Fax (717) 339-2011
Location 6500 University DrHershey, PA 17033-2360 · Phone (717) 531-8521 · Fax (717) 531-5068
Location 744405 Woodward AvePontiac, MI 48341-5023 · Phone (248) 858-6233

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Dr. Haresh Kumar 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 ID1557648490
PECOS Enrollment IDI20231219003372
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

6

Medicare enrollment records show Haresh Kumar reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Associates P.A., P.C.
Emergency Medicine
3300 GALLOWS RD
Falls Church, VA 22042
  • Reassigned Medicare billing, Virginia enrollment
  • 1,294 clinicians in this Medicare group
NPI 1134117393 (703) 776-4001
Evangelical Medical Services Organization
Emergency Medicine
1 HOSPITAL DR
Lewisburg, PA 17837
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 303 clinicians in this Medicare group
NPI 1073613345 (570) 522-4110
Hospitalist Medicine Physicians Of Fredericksburg, LLC
Internal Medicine
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 258 clinicians in this Medicare group
NPI 1447577572 (330) 493-4443
Sound Physicians Intensivists Of Virginia LLC
Critical Care Medicine
5801 BREMO RD
Richmond, VA 23226
  • Reassigned Medicare billing, Virginia enrollment
  • 134 clinicians in this Medicare group
NPI 1619520806 (808) 673-8160
Southeastern Intensivist Services PC
Hospitalist
2100 N 7TH ST
West Memphis, AR 72301
  • Reassigned Medicare billing, Virginia enrollment
  • 528 clinicians in this Medicare group
NPI 1912942665 (870) 733-3020
Wellspan Medical Group
Urgent Care
96 SOFIA DR STE 208
Shrewsbury, PA 17361
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1003229626 (717) 812-2400

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.

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.
116 services43 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
63 services24 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.
54 services54 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.
35 services32 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.
28 services28 patients

Hospital Affiliations CMS Care Compare 4

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

Evangelical Community Hospital

Acute Care Hospitals · Lewisburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390013
LocationOne Hospital DriveLewisburg, PA 17837 · Union County
Emergency services Birthing friendly

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17402 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier23 claims23 services$17.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers26 claims26 services$96.06 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 20

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

MRS. PATRICIA ANN HESS RD
Dietitian, Registered
292 SAINT CHARLES WAY
YORK, PA 17402
York County (717) 851-9231
DR. CHALAK N MUHAMMAD MD, MPH
Family Medicine
292 SAINT CHARLES WAY
YORK, PA 17402
York County (717) 851-6231
DR. ARUNA CHELLIAH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
292 SAINT CHARLES WAY
YORK, PA 17402
York County (717) 851-6231
MS. SUSAN WOHLBACH LDN
Dietitian, Registered
292 SAINT CHARLES WAY
YORK, PA 17402
York County (717) 851-6231
DR. DAVID THOMAS FRANCOIS MD
Internal Medicine (Rheumatology)
292 SAINT CHARLES WAY
YORK, PA 17402
York County (717) 851-6236
KATIE JO WINEMILLER CRNP
Nurse Practitioner (Gerontology)
292 SAINT CHARLES WAY
YORK, PA 17402
York County (717) 851-6040
CHRISTINA ROWE LDN
Dietitian, Registered
292 SAINT CHARLES WAY
YORK, PA 17402
York County (717) 851-6231
SABIH JAFRI
Internal Medicine (Endocrinology, Diabetes & Metabolism)
292 SAINT CHARLES WAY
YORK, PA 17402
York County (717) 851-6231

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 Haresh Kumar's NPI number?

The NPI number for Haresh Kumar is 1881140119. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Where is Haresh Kumar located?

Haresh Kumar practices at 292 Saint Charles Way, York, PA 17402. The listed phone number is (717) 851-6040.

What is Haresh Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Haresh Kumar enrolled in Medicare?

Yes. Haresh 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 Haresh Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haresh Kumar reassigns Medicare benefits to 6 organizations: Emergency Medicine Associates P.A., P.C. (Falls Church, VA), Evangelical Medical Services Organization (Lewisburg, PA), Hospitalist Medicine Physicians Of Fredericksburg, LLC (Fredericksburg, VA), Sound Physicians Intensivists Of Virginia LLC (Richmond, VA), Southeastern Intensivist Services PC (West Memphis, AR) and 1 more organization, listed in the Medicare section above. 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 Haresh Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haresh Kumar accept?

Health plans from Oscar Health list Haresh 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 Haresh Kumar affiliated with any hospitals?

According to CMS data, Haresh Kumar is affiliated with Evangelical Community Hospital, Wellspan York Hospital, Gettysburg Hospital and Wellspan Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Haresh Kumar was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.