ASHWATH SENTHIL KUMAR MD
NPI 1881213437
Hospitalist in Mount Vernon, IL

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment
92.57/100
CMS Quality Rating
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864(573) 239-2318 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2023, Apr 14, 2020 (2 updates tracked since 2020).

About Ashwath Senthil Kumar Md NPPES

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

ASHWATH SENTHIL KUMAR MD (NPI 1881213437) is an individual hospitalist provider in Mount Vernon, Illinois, licensed in Illinois (036162316) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1881213437
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameASHWATH SENTHIL KUMARCredential: MD
Location Address1 GOOD SAMARITAN WAYMount Vernon, IL 62864-2402
Mailing Address1 Good Samaritan WayMount Vernon, IL 62864-2402 · (573) 239-2318
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 14, 2020
Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
NPI 1881213437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IL · 036162316
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1 GOOD SAMARITAN WAY, Mount Vernon, IL 62864

Secondary Practice Location 1

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (866) 600-2273

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ashwath Senthil Kumar Md 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 ID8729490743
PECOS Enrollment IDI20240319001992
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.

Areas of Expertise CMS Part B claims 4

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.
349 services136 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
112 services109 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.
36 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services12 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

92.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.91
Promoting Interoperability100
Improvement Activities40
Cost69.69

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.

Internal Medicine (Interventional Cardiology)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Internal Medicine
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Rehabilitation Unit
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pathology (Anatomic Pathology & Clinical Pathology)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pharmacist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Radiology (Body Imaging)
1 GOOD SAMARITAN WAY, ATTN RADIOLOGY DEPT
MOUNT VERNON, IL 62864
Specialist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pharmacist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

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 Ashwath Kumar's NPI number?

The NPI number for Ashwath Kumar is 1881213437. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Ashwath Kumar located?

Ashwath Kumar practices at 1 Good Samaritan Way, Mount Vernon, IL 62864. The listed phone number is (573) 239-2318.

What is Ashwath Kumar's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ashwath Kumar enrolled in Medicare?

Yes. Ashwath 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.

Is Ashwath Kumar affiliated with any hospitals?

According to CMS data, Ashwath Kumar is affiliated with Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Ashwath Kumar was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.