RAMAN KUMAR (M.D.) – Surgery Physician, NPI 1386866853
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
124 COLORECTAL SURGERY (PROCTOLOGY) in IL
Provider Addresses for RAMAN KUMAR (M.D.)
2 SAINT ANTHONYS WAY STE 305
ALTON, IL 620024569
Phone: (618) 465-9024
Fax: (618) 462-6828
Type: Mailing
3421, Concord Road, Spring Plains, Springettsbury Township, York County, Pennsylvania, 17402, United States
YORK, PA 174029001
Phone: (717) 270-7908
Fax: (717) 272-1734
Type: Mailing
Norman Drive, Hauckville, North Cornwall Township, Lebanon County, Pennsylvania, 17042, United States
LEBANON, PA 170427559
Phone: (717) 270-7908
Fax: (717) 272-1734
Type: Location
735 Norman Dr Ste 3
Lebanon, PA 170427559
Phone: (717) 270-7908
Fax: (717) 272-1734
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 $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Medtronic, Inc. ($19).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $19 |
| Ethicon US, LLC | $19 |
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: 2019-05-21
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 |
|---|---|---|---|---|
| I20190521000119 | I | General Surgery | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 52 | 52 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 37 | 37 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 34 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 23 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 24 | 24 | $0 |
Insurance plans in this area (ZIP 62002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| - | TN | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| P O D I A T R Y | IL | |
| - | IL | |
| - | IL | |
| - | IL |
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