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ANJALI KUMAR MD
NPI 1902988942
Internal Medicine - Pulmonary Disease in Detroit, MI

Active since October 19, 2006PECOS EnrolledAccepts Medicare Assignment
4160 JOHN R SUITE 521, DETROIT, MI 48201(313) 831-1166(313) 831-0020 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anjali Kumar Md NPPES

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

ANJALI KUMAR MD (NPI 1902988942) is an individual pulmonary disease provider in Detroit, Michigan, licensed in Michigan (AK039441) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1902988942
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameANJALI KUMARCredential: MD
Location Address4160 JOHN R SUITE 521Detroit, MI 48201
Mailing Address369 EckfordTroy, MI 48085 · (248) 689-3012
Phone(313) 831-1166
Fax(313) 831-0020
Sole ProprietorNo
Medical School CMSOtherGraduated 1972
Enumeration DateOctober 19, 2006
Last NPPES UpdateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1902988942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MI · AK039441
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
4160 JOHN R SUITE 521, Detroit, MI 48201
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Other Names 1

Other Name (5)Anjali Dhar

Other Identifiers 3

Other1108296251MI · Bsbsm
Medicaid2125710MI
Other382487274MI · Comm

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, UnitedHealthcare.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

Anjali 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 ID4284703224
PECOS Enrollment IDI20080516000719
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 Anjali Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sterling Medical And Pain Center, PLLC
0.3 mi
Primary Care
4100 WOODWARD AVE STE 2
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1477907657 (248) 990-4728

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 3

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 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.
525 services66 patients
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.
114 services31 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
76 services35 patients

Hospital Affiliations CMS Care Compare

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers11 claims54 services$7.23 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers19 claims3,107 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers17 claims17 services$19.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Anjali Kumar's NPI number?

The NPI number for Anjali Kumar is 1902988942. It was assigned to this individual provider in the NPPES registry on October 19, 2006. The provider is also known as Anjali Dhar.

Where is Anjali Kumar located?

Anjali Kumar practices at 4160 John R Suite 521, Detroit, MI 48201. The listed phone number is (313) 831-1166.

What is Anjali Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Anjali Kumar enrolled in Medicare?

Yes. Anjali 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 Anjali Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anjali Kumar reassigns Medicare benefits to Sterling Medical And Pain Center, PLLC (Detroit, MI). 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 Anjali Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anjali Kumar accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Anjali 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 Anjali Kumar affiliated with any hospitals?

According to CMS data, Anjali Kumar is affiliated with Harper University Hospital.

When was this NPI record last updated?

The NPPES record for Anjali Kumar was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.