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DR. REETI KUMAR M.D.
NPI 1992140867
Pediatrics - Pediatric Nephrology in Durham, NC

Active since May 06, 2013PECOS EnrolledAccepts Medicare Assignment
4709 CREEKSTONE DR, DURHAM, NC 27703(919) 620-4555(919) 620-4921 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Reeti Kumar M.d. NPPES

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

DR. REETI KUMAR M.D. (NPI 1992140867) is an individual pediatric nephrology provider in Durham, North Carolina, licensed in North Carolina (2019-01360) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1992140867
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameDR. REETI KUMARCredential: M.D.
Location Address4709 CREEKSTONE DRDurham, NC 27703-9822
Mailing AddressPo Box 110566Durham, NC 27709-5566 · (919) 620-4555 · Fax (919) 620-4921
Phone(919) 620-4555
Fax(919) 620-4921
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 6, 2013
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1992140867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in NC · 2019-01360
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
4709 CREEKSTONE DR, Durham, NC 27703
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Dr. Reeti Kumar M.d. 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 ID8123329570
PECOS Enrollment IDI20191022000307
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 Reeti Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke Health Integrated Practice, Inc.
9.8 mi
General Practice
40 DUKE MEDICINE CIR
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1205553369 (919) 620-4855

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

Referred Medical Equipment & Supplies CMS DME claims 2

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

Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,800 services$0.01 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers17 claims17 services$12.65 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.

NEIL ROBERT EWING PA-C
Physician Assistant
4709 CREEKSTONE DR
DURHAM, NC 27703
Durham County (919) 660-2217
CHELSEA ESPINOZA OTR/L
Occupational Therapist
4709 CREEKSTONE DR
DURHAM, NC 27703
Durham County (919) 660-5066
DR. WILLIAM A JIRANEK M.D.
Orthopaedic Surgery
4709 CREEKSTONE DR, SUITE 300
DURHAM, NC 27703
Durham County (919) 684-6166
SANDEEP KUMAR PURI MD
Pediatrics (Pediatric Gastroenterology)
4709 CREEKSTONE DR
DURHAM, NC 27703
Durham County (919) 385-8880
KENDALL MURRAY ATC
Specialist/Technologist (Athletic Trainer)
4709 CREEKSTONE DR
DURHAM, NC 27703
Durham County (919) 660-5066
TELKEVIA MACKEY
Physical Therapist
4709 CREEKSTONE DR
DURHAM, NC 27703
Durham County (919) 684-3730
DEREK GEORGE ARMSTRONG MD
Pediatrics (Pediatric Gastroenterology)
4709 CREEKSTONE DR
DURHAM, NC 27703
Durham County (919) 668-4000
MARIANNE PAUL
Orthopaedic Surgery
4709 CREEKSTONE DR
DURHAM, NC 27703
Durham County (919) 684-8111

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 Reeti Kumar's NPI number?

The NPI number for Reeti Kumar is 1992140867. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Where is Reeti Kumar located?

Reeti Kumar practices at 4709 Creekstone Dr, Durham, NC 27703. The listed phone number is (919) 620-4555.

What is Reeti Kumar's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Reeti Kumar enrolled in Medicare?

Yes. Reeti 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 Reeti Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reeti Kumar reassigns Medicare benefits to Duke Health Integrated Practice, Inc. (Durham, NC). 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 Reeti Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Reeti Kumar accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Reeti 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.

When was this NPI record last updated?

The NPPES record for Reeti Kumar was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.