Nilay Kumar, MD, MPH - Medicare Gastroenterology in Milwaukee, WI

Nilay Kumar, MD, MPH is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Milwaukee, Wisconsin. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Aurora Advanced Healthcare Inc and his current practice location is 2901 W Kk River Pkwy, Suite 414, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 649-3750.

Nilay Kumar is licensed to practice in Wisconsin (license number 49637) 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 1427123702.

Contact Information

Nilay Kumar, MD, MPH
2901 W Kk River Pkwy, Suite 414,
Milwaukee, WI 53215-3677
(414) 649-3750
Not Available

Map and Direction




Physician's Profile

Full NameNilay Kumar
GenderMale
SpecialityGastroenterology
Experience20 Years
Location2901 W Kk River Pkwy, Milwaukee, Wisconsin
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:
  • Nilay Kumar graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1427123702
  • Provider Enumeration Date: 11/21/2006
  • Last Update Date: 01/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4789757071
  • Enrollment ID: I20080719000112

Medical Identifiers

Medical identifiers for Nilay Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427123702NPI-NPPES
35128200MedicaidWI
77501OtherWIMEDICAL COLLEGE OF WISCON

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 49637 (Wisconsin)Primary
207R00000XInternal Medicine 49637 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora St Lukes Medical CenterMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Advanced Healthcare Inc3375625833929

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. Nilay Kumar allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameLakeshore Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481
Entity NameAurora Advanced Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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. Nilay 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
Nilay Kumar, MD, MPH
3003 W Good Hope Rd,
Milwaukee, WI 53209-2042

Ph: (414) 352-3100
Nilay Kumar, MD, MPH
2901 W Kk River Pkwy, Suite 414,
Milwaukee, WI 53215-3677

Ph: (414) 649-3750

Reviews and Comments


Internal Medicine Doctors in Milwaukee, WI

Julia Bonner, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 3351 North Downer Avenue, Milwaukee, WI 53211
Phone: 414-229-5684    
Dr. Zachary Smith, DO
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-955-6830    Fax: 414-955-6214
Dr. Christopher Patrick Boyd, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-805-6000    Fax: 414-805-6280
Umair Bajwa, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-805-0812    Fax: 414-805-0855
Dr. Jeffrey Wilson, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1020 N 12th St, Ste 206, Milwaukee, WI 53233
Phone: 414-219-7136    
Rasika Surajyam Chepuri, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-955-7040    Fax: 414-955-6211
Soryal A Soryal, M.D
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233
Phone: 414-219-7300    

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.