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KAPEEL KUMAR MD
NPI 1942439161
Family Medicine in Augusta, GA

Active since July 09, 2009PECOS EnrolledAccepts Medicare Assignment
1350 WALTON WAY, AUGUSTA, GA 30901(706) 774-5795(706) 774-5792 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2024, May 10, 2023, May 18, 2022 and 1 more (4 updates tracked since 2017).

About Kapeel Kumar Md NPPES

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

KAPEEL KUMAR MD (NPI 1942439161) is an individual family medicine provider in Augusta, Georgia, licensed in Georgia (074684) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942439161
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKAPEEL KUMARCredential: MD
Location Address1350 WALTON WAYAugusta, GA 30901-2612
Mailing Address10010 King George LnWaxhaw, NC 28173-6816 · (516) 945-7887
Phone(706) 774-5795
Fax(706) 774-5792
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 9, 2009
Last NPPES UpdateOctober 3, 20244 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1942439161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 074684
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 2021-03316 (NC), 074684 (GA)
1350 WALTON WAY, Augusta, GA 30901
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18201 Healthcare Loop Ste 305Charlotte, NC 28215-7072 · Phone (980) 302-3050 · Fax (980) 302-3055
Location 2200 Hawthorne LnCharlotte, NC 28204-2515 · Phone (704) 384-5416 · Fax (704) 384-5992

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Kapeel 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 ID7012164981
PECOS Enrollment IDI20151020001983, I20220505001358
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 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.
338 services164 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
139 services130 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
130 services123 patients
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.
106 services68 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Mint Hill Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340190
Location8201 Healthcare LoopCharlotte, NC 28215 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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

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

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
3 suppliers13 claims13 services$69.16 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.

ENOCH BUSULWA LULE M.D.
Internal Medicine
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5542
DR. MARY TANEOUS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5400
PRIYA DHARSHINI RAVINDRAN MD
Internal Medicine (Gastroenterology)
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5795
DR. KAILASH B SHARMA MD
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5400
MICHEL TANIOS M.D.
Internal Medicine
1350 WALTON WAY, HOSPITALISTS
AUGUSTA, GA 30901
Richmond County (706) 774-7263
FLYNT STEBBINS CONNOR M.S., CCC-SLP
Speech-Language Pathologist
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-2166
LAURA ENZ
Speech-Language Pathologist
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-2166
CANDACE M CURTIS MD
Anesthesiology
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 737-6950

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 Kapeel Kumar's NPI number?

The NPI number for Kapeel Kumar is 1942439161. It was assigned to this individual provider in the NPPES registry on July 9, 2009.

Where is Kapeel Kumar located?

Kapeel Kumar practices at 1350 Walton Way, Augusta, GA 30901. The listed phone number is (706) 774-5795.

What is Kapeel Kumar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kapeel Kumar enrolled in Medicare?

Yes. Kapeel 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 Kapeel Kumar accept?

Health plans from Alliant Health Plans, Inc. list Kapeel 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 Kapeel Kumar affiliated with any hospitals?

According to CMS data, Kapeel Kumar is affiliated with Novant Health Presbyterian Medical Center, Novant Health Matthews Medical Center and Novant Health Mint Hill Medical Center.

When was this NPI record last updated?

The NPPES record for Kapeel Kumar was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.