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MR. DINESH KUMAR M.D.
NPI 1992200083
Internal Medicine in Spokane, WA

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
81.63/100
CMS Quality Rating
101 W 8TH AVE, SPOKANE, WA 99204(509) 474-3260 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2025, Jun 11, 2025, Apr 8, 2024 and 3 more (6 updates tracked since 2018).

About Mr. Dinesh Kumar M.d. NPPES

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

MR. DINESH KUMAR M.D. (NPI 1992200083) is an individual internal medicine provider in Spokane, Washington, licensed in Washington (MD61666032) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1992200083
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. DINESH KUMARCredential: M.D.
Location Address101 W 8TH AVESpokane, WA 99204-2307
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-0001
Phone(509) 474-3260
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 29, 2018
Last NPPES UpdateJune 27, 20256 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1992200083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in WA · MD61666032✔ Licensed in NY · 311201
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 311201 (NY)
101 W 8TH AVE, Spokane, WA 99204
Open in Google Maps ↗

Secondary Practice Location 1

Location 1750 E Adams StSyracuse, NY 13210-2306 · Phone (315) 464-5910

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Mr. Dinesh 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 ID4183025521
PECOS Enrollment IDI20210623002031, I20250606001063
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 5

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 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.
272 services121 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.
66 services66 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
56 services37 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
15 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500054
Location101 West 8th AvenueSpokane, WA 99204 · Spokane County
Emergency services Birthing friendly

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500077
Location5633 North LidgerwoodSpokane, WA 99208 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.86
Promoting Interoperability100
Improvement Activities40
Cost52.79

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.

CHELSEA POSENJAK
Nurse Anesthetist, Certified Registered
101 W 8TH AVE
SPOKANE, WA 99204
Spokane County (509) 474-3131
CAITLIN KLAMPER MD
Psychiatry & Neurology (Psychiatry)
101 W 8TH AVE
SPOKANE, WA 99204
Spokane County (509) 474-4744
DR. SARAH N PETERSON MD
Radiology (Diagnostic Radiology)
101 W 8TH AVE
SPOKANE, WA 99204
Spokane County (509) 474-3020
MICHAEL GROSS MD
Anesthesiology
101 W 8TH AVE
SPOKANE, WA 99204
Spokane County (509) 474-3181
LAURA DARLENE DEWALD DO
Internal Medicine
101 W 8TH AVE
SPOKANE, WA 99204
Spokane County (509) 626-9900
PAUL C THORNE MD
Surgery (Pediatric Surgery)
101 W 8TH AVE, STE 100
SPOKANE, WA 99204
Spokane County (509) 474-5445
DR. BROOKS THOMAS LASELLE M.D.
Emergency Medicine
101 W 8TH AVE
SPOKANE, WA 99204
Spokane County (253) 217-3832
MR. MICHAEL CLIFFORD BLANCH R.PH.
Pharmacist
101 W 8TH AVE
SPOKANE, WA 99204
Spokane County (509) 474-3088

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 Dinesh Kumar's NPI number?

The NPI number for Dinesh Kumar is 1992200083. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Dinesh Kumar located?

Dinesh Kumar practices at 101 W 8th Ave, Spokane, WA 99204. The listed phone number is (509) 474-3260.

What is Dinesh Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dinesh Kumar enrolled in Medicare?

Yes. Dinesh 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 Dinesh Kumar accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Dinesh 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 Dinesh Kumar affiliated with any hospitals?

According to CMS data, Dinesh Kumar is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp. and Providence Holy Family Hospital.

When was this NPI record last updated?

The NPPES record for Dinesh Kumar was last updated on June 27, 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.