Dr Prabhat Kumar, MD - Medicare Cardiovascular Disease (cardiology) in Sanford, NC

Dr Prabhat Kumar, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Sanford, North Carolina. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Unc Physicians And Associates, Unc Physicians Network and his current practice location is 1301 Central Dr, Sanford, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 718-9512.

Dr Prabhat Kumar is licensed to practice in North Carolina (license number 2021-00364) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699072637.

Contact Information

Dr Prabhat Kumar, MD
1301 Central Dr,
Sanford, NC 27330-4159
(919) 718-9512
(919) 718-9516

Map and Direction




Physician's Profile

Full NameDr Prabhat Kumar
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience27 Years
Location1301 Central Dr, Sanford, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Prabhat Kumar graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1699072637
  • Provider Enumeration Date: 02/25/2011
  • Last Update Date: 05/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1355613647
  • Enrollment ID: I20170822000874

Medical Identifiers

Medical identifiers for Dr Prabhat Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699072637NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 18269 (ZZ)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 2021-00364 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of North Carolina HospitalChapel hill, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Unc Physicians And Associates06481811561656
Unc Physicians Network5496940546709

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 Prabhat Kumar allows following entities to bill medicare on his behalf.
Entity NameUniversity Of North Carolina At Chapel Hill
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780669200
PECOS PAC ID: 0648181156
Enrollment ID: O20031105000359
Entity NameUnc Physicians Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750704367
PECOS PAC ID: 5496940546
Enrollment ID: O20101115000646

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 Prabhat Kumar 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 Prabhat Kumar, MD
2000 Perimeter Park Dr Ste 200,
Morrisville, NC 27560-8442

Ph: () -
Dr Prabhat Kumar, MD
1301 Central Dr,
Sanford, NC 27330-4159

Ph: (919) 718-9512

Reviews and Comments


Internal Medicine Doctors in Sanford, NC

Dr. Chamain Dorothy Austin, M.D.
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 4546 Nc 87 S, Sanford, NC 27332
Phone: 919-499-5151    Fax: 919-499-5147
Dr. Konrad Michael Dziamski, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 110 Fields Dr, Sanford, NC 27330
Phone: 919-777-9005    
Gerald Wayne Blake, M.D.
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1139 Carthage St, Suite 110, Sanford, NC 27330
Phone: 919-774-2195    Fax: 919-776-8131
Dr. Ashwani Sastry, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 821 S Horner Blvd, Sanford, NC 27330
Phone: 919-589-6968    Fax: 919-869-2565
Manish Kanti Saha, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1301 Central Dr, Sanford, NC 27330
Phone: 919-718-9512    Fax: 919-718-9516
Katherine Ann Asadi, D.O.
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 4546 Nc 87 S, Sanford, NC 27332
Phone: 919-499-5151    Fax: 919-499-5147
Dr. Koyal Jain, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1301 Central Dr, Sanford, NC 27330
Phone: 919-718-9512    Fax: 919-718-9516

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.