VITHAL KUSUMA (M.D.) – Gastroenterology Physician, NPI 1750375051
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
525 GASTROENTEROLOGY in GA
Provider Addresses for VITHAL KUSUMA (M.D.)
1009 N Monroe St
Albany, GA 317011903
Phone: (229) 883-0298
Fax: (229) 438-7898
Type: Location
1009, North Monroe Street, Albany, Dougherty County, Georgia, 31701, United States
ALBANY, GA 317011970
Phone: (229) 883-0298
Type: Mailing
902 N 7TH ST
CORDELE, GA 310153234
Phone: (229) 276-3100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $38.
Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.
Last reported payment date: 2023-10-11 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($23).
Total Amount
$38
General + Research + Ownership
Payments
2
Total payment records
General Amount
$38
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $23 |
| Boston Scientific Corporation | $15 |
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: 2009-01-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090122000674 | I | Gastroenterology | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | GA | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 26 | 25 |
| GASTROENTEROLOGY | GA | 45378 | Diagnostic examination of large bowel using an endoscope | 64 | 63 |
| GASTROENTEROLOGY | GA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | MN | |
| Critical Care (Intensivists) | GA | |
| Physician Assistant | GA | |
| Pulmonary Disease, Critical Care (Intensivists) | GA | |
| Physician Assistant | GA | |
| - | UT | |
| G A S T R O E N T E R O L O G Y | GA | |
| - | GA | |
| - | GA |
Reviews
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