Nitin Kumar, MD - Medicare Pediatrics in Yardley, PA

Nitin Kumar, MD is a medicare enrolled "Pediatrics" physician in Yardley, Pennsylvania. His current practice location is 680 Heacock Rd Ste 101, Yardley, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 493-8080.

Nitin Kumar is licensed to practice in Pennsylvania (license number MD464707) 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 1831577055.

Contact Information

Nitin Kumar, MD
680 Heacock Rd Ste 101,
Yardley, PA 19067-6346
(215) 493-8080
Not Available

Map and Direction




Physician's Profile

Full NameNitin Kumar
GenderMale
SpecialityPediatrics
Location680 Heacock Rd Ste 101, Yardley, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831577055
  • Provider Enumeration Date: 05/07/2015
  • Last Update Date: 08/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254632649
  • Enrollment ID: I20181214002627

Medical Identifiers

Medical identifiers for Nitin Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831577055NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD464707 (Pennsylvania)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. Nitin Kumar allows following entities to bill medicare on his behalf.
Entity NameCharles Cole Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326161662
PECOS PAC ID: 3779487475
Enrollment ID: O20040310001269
Entity NameHazleton Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952464638
PECOS PAC ID: 8022110402
Enrollment ID: O20070305000195
Entity NameUpmc Wellsboro
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1427501766
PECOS PAC ID: 5294710414
Enrollment ID: O20160913001277
Entity NameUpmc Wellsboro
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275090433
PECOS PAC ID: 5294710414
Enrollment ID: O20190709001759
Entity NameStc Pediatrics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144864547
PECOS PAC ID: 7315372323
Enrollment ID: O20200122001254

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. Nitin 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
Nitin Kumar, MD
Po Box 13579,
Reading, PA 19612-3579

Ph: (484) 628-1324
Nitin Kumar, MD
680 Heacock Rd Ste 101,
Yardley, PA 19067-6346

Ph: (215) 493-8080

Reviews and Comments


Pediatrics Doctors in Yardley, PA

Malti P Damani, MD
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Medicare: Medicare Enrolled
Practice Location: 301 Oxford Valley Rd, #202a, Yardley, PA 19067
Phone: 215-493-9877    Fax: 215-493-3519
Judith Ann Gardner, DO
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Practice Location: 1690 Big Oak Rd, Yardley, PA 19067
Phone: 215-493-1750    Fax: 215-493-1470
Jill K Stavalone, DO
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Practice Location: 1690 Big Oak Rd, Yardley, PA 19067
Phone: 215-493-1750    Fax: 215-493-1470
Elizabeth D Thomas, MD
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Medicare: Medicare Enrolled
Practice Location: 385 Oxford Valley Rd, Suite 311, Yardley, PA 19067
Phone: 215-493-1750    Fax: 215-493-1470
Dr. Heather Lee Orman-lubell, M.D.
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Medicare: Medicare Enrolled
Practice Location: 680 Heacock Rd, Suite 101, Yardley, PA 19067
Phone: 215-493-6519    Fax: 215-493-6704
Dr. Jasmine K Patel, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1690 Big Oak Rd, Yardley, PA 19067
Phone: 215-493-1750    
Dr. Michele Caroline Willems Plakyda, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1004 Floral Vale Blvd, Yardley, PA 19067
Phone: 267-759-6736    Fax: 267-759-6735

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.