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DR. KRISHNA P KUMAR MD
NPI 1992773444
Internal Medicine in Denton, TX

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
301 DALLAS DR, 126, DENTON, TX 76205(940) 243-2766(940) 320-3570 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Krishna P Kumar Md NPPES

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

DR. KRISHNA P KUMAR MD (NPI 1992773444) is an individual internal medicine provider in Denton, Texas, licensed in Texas (J0560) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1970).

NPPES Registry Identity

NPI1992773444
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KRISHNA P KUMARCredential: MD
Location Address301 DALLAS DR, 126Denton, TX 76205-5291
Mailing Address1933 Benz DrAbilene, TX 79602-5241 · (325) 669-1958 · Fax (325) 672-2674
Phone(940) 243-2766
Fax(940) 320-3570
Sole ProprietorNo
Medical School CMSOtherGraduated 1970
Enumeration DateMarch 10, 2006
Last NPPES UpdateFebruary 7, 2012
✔ NPI 1992773444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · J0560
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 ListedEmergency MedicineTaxonomy 207P00000X · License J0560 (TX)
301 DALLAS DR, Denton, TX 76205
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Other Identifiers 2

Medicare PIN8J2233TX
Medicare UPIND74686TX

Accepted Insurance

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

Dr. Krishna P 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 ID5597751719
PECOS Enrollment IDI20040423001066
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76205 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
51%206 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%5,295 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
85%2,162 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
52%253 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
88%1,310 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUGEER OMAR B.C.,H.I.S.
Hearing Instrument Specialist
301 DALLAS DR, SUITE #C2
DENTON, TX 76205
Denton County (940) 243-2766

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 Krishna Kumar's NPI number?

The NPI number for Krishna Kumar is 1992773444. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Krishna Kumar located?

Krishna Kumar practices at 301 Dallas Dr 126, Denton, TX 76205. The listed phone number is (940) 243-2766.

What is Krishna Kumar's specialty?

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

Is Krishna Kumar enrolled in Medicare?

Yes. Krishna 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 Krishna Kumar accept?

Health plans from Blue Cross and Blue Shield of Texas list Krishna 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 Krishna Kumar was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.