Dr Kusum B Tom, MD - Medicare Critical Care (intensivists) in Greensburg, PA

Dr Kusum B Tom, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Greensburg, Pennsylvania. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Critical Care (intensivists). She is a member of the group practice Excela Health Physician Practices, Inc and her current practice location is 532 W Pittsburgh St, Greensburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (724) 454-4480.

Dr Kusum B Tom is licensed to practice in Pennsylvania (license number MD419807) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861468167.

Contact Information

Dr Kusum B Tom, MD
532 W Pittsburgh St,
Greensburg, PA 15601-2239
(724) 454-4480
Not Available

Map and Direction




Physician's Profile

Full NameDr Kusum B Tom
GenderFemale
SpecialityCritical Care (intensivists)
Experience29 Years
Location532 W Pittsburgh St, Greensburg, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kusum B Tom attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1861468167
  • Provider Enumeration Date: 02/27/2006
  • Last Update Date: 08/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1658260682
  • Enrollment ID: I20040315001043

Medical Identifiers

Medical identifiers for Dr Kusum B Tom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861468167NPI-NPPES
100850386MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine MD419807 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Excela Health Westmoreland Regional HospitalGreensburg, PAHospital
Excela Health Latrobe HospitalLatrobe, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Excela Health Physician Practices, Inc6204737117438

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kusum B Tom allows following entities to bill medicare on her behalf.
Entity NameExcela Health Physician Practices, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821225202
PECOS PAC ID: 6204737117
Enrollment ID: O20040322001393

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kusum B Tom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kusum B Tom, MD
532 W Pittsburgh St,
Greensburg, PA 15601-2239

Ph: (724) 454-4480
Dr Kusum B Tom, MD
532 W Pittsburgh St,
Greensburg, PA 15601-2239

Ph: (724) 454-4480

Reviews and Comments


Internal Medicine Doctors in Greensburg, PA

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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