DR. BABU SHIVA KUMAR (MD) – Internal Medicine Physician, NPI 1295721942

DR. BABU SHIVA KUMAR (MD) is a healthcare provider. based in Hamden, Connecticut. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 032892 (CT). The NPI Number for DR. BABU SHIVA KUMAR (MD) is 1295721942

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. BABU SHIVA KUMAR (MD)
NPI
1295721942
Phone
(203) 230-4160
Address
2543 DIXWELL AVE
Enumeration Date
27 September 2005
Last Update Date
5 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2032304160
Graduation Year
1982 (44 years ago)
PAC ID
3476442781
Group Practice PAC ID
8527148550
Professional Enrollment ID
I20080103000546
Address ID
CT065141860HA2543XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,448 INTERNAL MEDICINE in CT

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Provider Addresses for DR. BABU SHIVA KUMAR (MD)

  • 2543, Dixwell Avenue, Beecher Heights, Hamden, New Haven County, Connecticut, 06518, United States

    HAMDEN, CT 065141809

    Phone: (203) 230-4160

    Fax: (203) 848-2484

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 233 Open Payments records for all available years, with a total value of $4,940.

Total Amount is formed as General ($4,940) + Research ($0) + Ownership ($0) = $4,940.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Lilly USA, LLC ($669).

Total Amount

$4,940

General + Research + Ownership

Payments

233

Total payment records

General Amount

$4,940

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080103000546IInternal MedicineCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes648332$0
99214Established patient office or other outpatient visit, 30-39 minutes544297$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit185185$0
99497Advance care planning, first 30 minutes140140$0
G0444Annual depression screening, 5 to 15 minutes138138$0
View full utilization report →

Insurance plans in this area (ZIP 06514)

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Provider's Procedures

DR. BABU SHIVA KUMAR (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINECT81002Urinalysis, manual test238161
INTERNAL MEDICINECT90670Pneumococcal vaccine for injection into muscle2424

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527148550View full group profile
NameSpecialtyState
Nurse PractitionerCT

Reviews

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Frequently asked questions

What number should I use to identify DR. BABU SHIVA KUMAR (MD) for billing?
Administrative and clinical systems typically use NPI 1295721942 for DR. BABU SHIVA KUMAR (MD).
Is DR. BABU SHIVA KUMAR (MD)'s NPI status active today?
Active status means DR. BABU SHIVA KUMAR (MD)'s NPI record is not deactivated in the public file.
What does the directory say DR. BABU SHIVA KUMAR (MD) does?
Insurance directories may phrase it differently, but here DR. BABU SHIVA KUMAR (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. BABU SHIVA KUMAR (MD)?
DR. BABU SHIVA KUMAR (MD) shows a connection to Hamden, Connecticut in registry-derived data.
Who maintains DR. BABU SHIVA KUMAR (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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