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MONISHA A. KUMAR M.D.
NPI 1891886586
Psychiatry & Neurology - Neurology in Philadelphia, PA

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 SPRUCE ST., 2 RAVDIN, PHILADELPHIA, PA 19104(215) 662-3606 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Monisha A. Kumar M.d. NPPES

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

MONISHA A. KUMAR M.D. (NPI 1891886586) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD434608) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1891886586
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMONISHA A. KUMARCredential: M.D.
Location Address3400 SPRUCE ST., 2 RAVDINPhiladelphia, PA 19104-4206
Mailing Address3400 Civic Center Boulevard, 2nd Floor, South PavilionPhiladelphia, PA 19104-5127 · (215) 662-3606
Phone(215) 662-3606
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 27, 2006
Last NPPES UpdateAugust 11, 2015
✔ NPI 1891886586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PA · MD434608
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3400 SPRUCE ST., Philadelphia, PA 19104
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedZZZP4314ZCA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Monisha A. 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 ID8729085204
PECOS Enrollment IDI20080821000575
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
126 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

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.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

ZACHARY FRANKLIN MEISEL MD
Emergency Medicine
3400 SPRUCE ST., GROUND SILVERSTEIN BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7248
JOHN D MCGREEVEY III MD
Hospitalist
3400 SPRUCE ST., 5 MALONEY
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3797
MRS. SHARON BETH KATZENBACH CRNP
Nurse Practitioner (Family)
3400 SPRUCE ST., GROUND SILVERSTEIN BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3958
NIHAR HOTCHANDANI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3400 SPRUCE ST., 6 FOUNDERS
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3209
DR. ARIANNE STEPHANIE MORRISON M.D.
Internal Medicine (Infectious Disease)
3400 SPRUCE ST.
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6932
SCOTT M DAMRAUER MD
Surgery (Vascular Surgery)
3400 SPRUCE ST., 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-0306
ERIN R CARTON CRNP
Nurse Practitioner (Adult Health)
3400 SPRUCE ST.
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000
S. WILLIAM STAVROPOULOS MD
Radiology (Vascular & Interventional Radiology)
3400 SPRUCE ST., 1 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3005

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 Monisha Kumar's NPI number?

The NPI number for Monisha Kumar is 1891886586. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Monisha Kumar located?

Monisha Kumar practices at 3400 Spruce St. 2 Ravdin, Philadelphia, PA 19104. The listed phone number is (215) 662-3606.

What is Monisha Kumar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Monisha Kumar enrolled in Medicare?

Yes. Monisha 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.

What insurance does Monisha Kumar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Monisha 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 Monisha Kumar affiliated with any hospitals?

According to CMS data, Monisha Kumar is affiliated with Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Monisha Kumar was last updated on August 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.