DR. AJAY KUMAR (M.D.) – Internal Medicine Physician, NPI 1073500443

DR. AJAY KUMAR (M.D.) is a healthcare provider. based in Eatonton, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 042326 (GA). The NPI Number for DR. AJAY KUMAR (M.D.) is 1073500443

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. AJAY KUMAR (M.D.)
NPI
1073500443
Phone
(706) 485-8495
Address
132 SPARTA HWY
Enumeration Date
30 September 2005
Last Update Date
9 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7064858495
Graduation Year
1989 (37 years ago)
PAC ID
9830091602
Professional Enrollment ID
I20040122000622
Address ID
GA310248492EA132XXHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

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Provider Addresses for DR. AJAY KUMAR (M.D.)

  • Sparta Highway, Eatonton, Putnam County, Georgia, 31024, United States

    EATONTON, GA 310248492

    Phone: (706) 485-8495

    Fax: (706) 485-7541

    Type: Location

  • 125 Sparta Hwy

    Eatonton, GA 310246093

    Phone: (706) 485-8573

    Fax: (706) 485-8283

    Type: Location

  • PO BOX 4608

    EATONTON, GA 310244608

    Phone: (706) 485-8495

    Fax: (706) 485-7541

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Medtronic, Inc. ($67).

Total Amount

$105

General + Research + Ownership

Payments

3

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-01-22

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
I20040122000622IInternal MedicineGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes523168$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days39454$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes37958$0
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes35452$0
36415Insertion of needle into vein for collection of blood sample309129$0
View full utilization report →

Insurance plans in this area (ZIP 31024)

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Provider's Procedures

DR. AJAY KUMAR (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEGA20610Aspiration and/or injection of large joint or joint capsule11866
EMERGENCY MEDICINEGA82270Stool analysis for blood to screen for colon tumors4848
EMERGENCY MEDICINEGA83036Hemoglobin A1C level207124

Reviews

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Frequently asked questions

Is DR. AJAY KUMAR (M.D.) listed with a National Provider Identifier?
Yes — DR. AJAY KUMAR (M.D.) has NPI 1073500443 on file in the registry.
Would DR. AJAY KUMAR (M.D.) appear as active to a payer?
You can treat DR. AJAY KUMAR (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. AJAY KUMAR (M.D.)'s focus?
For DR. AJAY KUMAR (M.D.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. AJAY KUMAR (M.D.) located near Eatonton?
DR. AJAY KUMAR (M.D.) currently maps to Eatonton, Georgia in this extract.
Does DR. AJAY KUMAR (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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