ADA JAIN KUMAR MD
NPI 1952382616
Radiology - Diagnostic Radiology in Bethlehem, PA
NPI Status: Active since November 09, 2005
Contact Information
2775 SCHOENERSVILLE RD
BETHLEHEM, PA
ZIP 18017
Phone: (610) 861-8080
Fax: (610) 807-0366
- Individual
- Female
- Radiology
- Diagnostic Radiology
- PECOS Enrolled
About ADA KUMAR
This page provides the complete NPI Profile along with additional information for Ada Kumar, a provider established in Bethlehem, Pennsylvania with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1952382616 assigned on November 2005. The practitioner's primary taxonomy code is 2085R0202X with license number 036107038 (IL). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1952382616
- Provider Name
- ADA JAIN KUMAR MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2775 SCHOENERSVILLE RD BETHLEHEM, PA 18017
- Location Phone
- (610) 861-8080
- Location Fax
- (610) 807-0366
- Mailing Address
- 2775 SCHOENERSVILLE RD BETHLEHEM, PA 18017
- Mailing Phone
- (610) 861-8080
- Mailing Fax
- (610) 807-0366
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-09-2005
- Last Update Date
- 12-17-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036107038
- License State
- IL
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50076649 | OTHER (01) | PA | CAPITAL BLUE CROSS |
| 123533 | MEDICARE PIN (08) | ||
| 116007 | OTHER (01) | GEISINGER HEALTH PLAN | |
| H77112 | MEDICARE UPIN (02) | ||
| 2327036 | OTHER (01) | UNITED HEALTHCARE | |
| 7359526 | OTHER (01) | AETNA PPO | |
| 3507174000 | OTHER (01) | KEYSTONE HEALTH PLAN EAST | |
| 1567460 | OTHER (01) | GATEWAY HEALTH PLAN | |
| 3507174000 | OTHER (01) | INDEPENDENCE BLUE CROSS | |
| 20073609 | OTHER (01) | AMERIHEALTH MERCY | |
| 50076649 | OTHER (01) | KEYSTONE HEALTH PLAN CENTRAL | |
| P00610312 | OTHER (01) | MEDICARE RAILROAD | |
| 6630432 | OTHER (01) | AETNA HMO | |
| 2023284 | OTHER (01) | HIGHMARK BLUE SHIELD | |
| 3507174000 | OTHER (01) | AMERIHEALTH |
Medicare Participation & PECOS Enrollment Status
Ada Kumar is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Mri scan of arm joint without contrast
Mri scan of leg joint without contrast
Mri scan of lower spinal canal before and after contrast
Mri scan of lower spinal canal without contrast
Mri scan of upper spinal canal without contrast
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
This service was performed 122 times for 116 patientsAn MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
This service was performed 161 times for 153 patientsAn MRI scan of the lower spinal canal with contrast is a non-invasive imaging procedure. It uses magnetic fields to generate detailed images of your lower spine. A contrast agent is injected to enhance these images, helping doctors see issues more clearly.
This service was performed 13 times for 13 patientsAn MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
This service was performed 75 times for 75 patientsAn MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
This service was performed 16 times for 16 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 18017 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.88
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $21.22
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.36
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $17.09
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1952382616, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
BETHLEHEM, PA 18017
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952382616, enumerated as an "individual" on November 09, 2005.
The provider is located at 2775 SCHOENERSVILLE RD BETHLEHEM, PA 18017 and the phone number is (610) 861-8080.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid, Aetna,. Please consult your insurance carrier or call the provider to verify.