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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRASANNA KUMAR
NPI 1952031627
Emergency Medicine in Providence, RI

Active since June 14, 2022PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-6489 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Prasanna Kumar NPPES

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

PRASANNA KUMAR (NPI 1952031627) is an individual emergency medicine provider in Providence, Rhode Island, licensed in Massachusetts (1026203) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of University Of Vermont College Of Medicine (2022).

NPPES Registry Identity

NPI1952031627
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePRASANNA KUMAR
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address593 Eddy StProvidence, RI 02903-4923
Phone(401) 444-6489
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2022
Enumeration DateJune 14, 2022
Last NPPES UpdateSeptember 25, 2026
NPPES CertifiedSeptember 25, 2026
✔ NPI 1952031627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 1026203
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
593 EDDY ST, Providence, RI 02903
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prasanna Kumar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991184731
PECOS Enrollment IDI20260609000118
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 Prasanna Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Winchester Emergency Medical Associates PC
48 mi
Emergency Medicine
41 HIGHLAND AVE
Winchester, MA 01890
  • Reassigned Medicare billing, Massachusetts enrollment
  • 39 clinicians in this Medicare group
NPI 1831131473 (781) 756-7273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

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.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695
FANNY HUANG MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4741

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 Prasanna Kumar's NPI number?

The NPI number for Prasanna Kumar is 1952031627. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Prasanna Kumar located?

Prasanna Kumar practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-6489.

What is Prasanna Kumar's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Prasanna Kumar enrolled in Medicare?

Yes. Prasanna Kumar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prasanna Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prasanna Kumar reassigns Medicare benefits to Winchester Emergency Medical Associates PC (Winchester, MA). 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 Prasanna Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Prasanna Kumar affiliated with any hospitals?

According to CMS data, Prasanna Kumar is affiliated with Winchester Hospital.

When was this NPI record last updated?

The NPPES record for Prasanna Kumar was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.