GAGAN KUMAR MD
NPI 1932281466
Internal Medicine - Critical Care Medicine in Gainesville, GA
About Gagan Kumar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAGAN KUMAR MD (NPI 1932281466) is an individual critical care medicine provider in Gainesville, Georgia, licensed in Georgia (72702) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted 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
Gagan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Gagan Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 1,172 clinicians in this Medicare group
Fitzgerald, GA 31750
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Phoebe Physician Group Inc
- 1,118 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeast Georgia Medical Center, Inc
Acute Care Hospitals · Gainesville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Gagan Kumar's NPI number?
The NPI number for Gagan Kumar is 1932281466. It was assigned to this individual provider in the NPPES registry on October 20, 2006.
Where is Gagan Kumar located?
Gagan Kumar practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (414) 688-4827.
What is Gagan Kumar's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Gagan Kumar enrolled in Medicare?
Yes. Gagan 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 Gagan Kumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gagan Kumar reassigns Medicare benefits to 2 organizations: Northeast Georgia Physicians Group Inc (Gainesville, GA) and Phoebe Dorminy Family Care (Fitzgerald, GA). 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 Gagan Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gagan Kumar accept?
Health plans from Alliant Health Plans, Inc. list Gagan 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 Gagan Kumar affiliated with any hospitals?
According to CMS data, Gagan Kumar is affiliated with Northeast Georgia Medical Center, Inc.
When was this NPI record last updated?
The NPPES record for Gagan Kumar was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Gagan Kumar, MD · NPI 1932281466
Critical Care Medicine physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since October 20, 2006.
## Identity
- **NPI:** 1932281466 (Entity type: Individual)
- **Enumerated:** October 20, 2006
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 72702 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 743 SPRING ST NE, Gainesville, GA 30501-3715
- **Phone:** (414) 688-4827
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Northeast Georgia Physicians Group Inc (NPI 1891745212, Gainesville, GA); Phoebe Dorminy Family Care (NPI 1992084644, Fitzgerald, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** November 17, 2020
- **Other identifiers:** Medicaid 34978300 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1932281466) · Data from the CMS NPPES public registry.