Nishanth Girija Kumar, MD - Medicare Internal Medicine in Worcester, MA

Nishanth Girija Kumar, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Worcester, Massachusetts. His current practice location is 123 Summer St, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 363-6208.

Nishanth Girija Kumar is licensed to practice in Kentucky (license number 53686) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548643752.

Contact Information

Nishanth Girija Kumar, MD
123 Summer St,
Worcester, MA 01608-1216
(508) 363-6208
Not Available

Map and Direction




Physician's Profile

Full NameNishanth Girija Kumar
GenderMale
SpecialityInternal Medicine - Nephrology
Location123 Summer St, Worcester, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548643752
  • Provider Enumeration Date: 07/07/2015
  • Last Update Date: 05/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2163714148
  • Enrollment ID: I20240118001804

Medical Identifiers

Medical identifiers for Nishanth Girija Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548643752NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 53686 (Kentucky)Primary

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. Nishanth Girija Kumar allows following entities to bill medicare on his behalf.
Entity NameMiddletown Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902855828
PECOS PAC ID: 2567464308
Enrollment ID: O20070208000144

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. Nishanth Girija 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
Nishanth Girija Kumar, MD
105 Financial Pl, Ste 105,
Elizabethtown, KY 42701-8437

Ph: (270) 765-5112
Nishanth Girija Kumar, MD
123 Summer St,
Worcester, MA 01608-1216

Ph: (508) 363-6208

Reviews and Comments


Internal Medicine Doctors in Worcester, MA

Dr. Adepeju Gbadebo Champion, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-2731    Fax: 774-442-4672
Madaiah Lokeshwari, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 123 Summer St, Worcester, MA 01608
Phone: 508-363-6849    
Sowmya Korapati,
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-3550    Fax: 774-442-6715
Irma Hashmi, DO
Nephrology
Medicare: Medicare Enrolled
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-1000    
Dr. Madhav Sharma, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 123 Summer St, Worcester, MA 01608
Phone: 508-363-5438    
Daniel M Steigman, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 123 Summer Street, Suite 390, Worcester, MA 01608
Phone: 508-368-3120    Fax: 508-368-3121
Dr. Julia D Andrieni, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 55 Lake Ave N, Department Of General Medicine, Worcester, MA 01655
Phone: 508-334-2731    

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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