KUMARA SIDHARTHA (MD) – Internal Medicine Physician, NPI 1629091608

KUMARA SIDHARTHA (MD) is a healthcare provider. based in South yarmouth, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 215838 (MA). The NPI Number for KUMARA SIDHARTHA (MD) is 1629091608

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
KUMARA SIDHARTHA (MD)
NPI
1629091608
Phone
(508) 778-4777
Address
495 STATION AVE
Enumeration Date
25 July 2006
Last Update Date
18 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7745523208
Graduation Year
2002 (24 years ago)
PAC ID
4284810136
Group Practice PAC ID
3577471564
Professional Enrollment ID
I20110511000199
Address ID
MA026641218SX495XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for KUMARA SIDHARTHA (MD)

  • 495, Station Avenue, South Yarmouth, Yarmouth, Barnstable County, Massachusetts, 02664, United States

    SOUTH YARMOUTH, MA 026641218

    Phone: (508) 778-4777

    Fax: (508) 771-9555

    Type: Location

  • 221, North Street, Hyannis, Barnstable, Barnstable County, Massachusetts, 02601, United States

    HYANNIS, MA 026015133

    Phone: (508) 862-7777

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-06-04 • Largest payer in this snapshot: Abbott Laboratories ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$13
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: 2011-05-11

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
I20110511000199IInternal MedicineMATBD

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 minutes16088$0
36415Insertion of needle into vein for collection of blood sample3123$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2929$0
80048Blood test, basic group of blood chemicals (calcium, total)2219$0
82247Bilirubin level, total2018$0
View full utilization report →

Insurance plans in this area (ZIP 02664)

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Provider's Procedures

KUMARA SIDHARTHA (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMA85610Blood test, clotting time17619

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: 3577471564View full group profile
NameSpecialtyState
E N D O C R I N O L O G YMA
Nurse PractitionerMA
Physician AssistantMA
Internal Medicine, Cardiovascular Disease (Cardiology)MA
Family PracticeMA
Internal MedicineMA
Thoracic Surgery, General SurgeryMA
-MA
N E U R O S U R G E R YMA
-NV

Reviews

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Frequently asked questions

What NPI should I save for KUMARA SIDHARTHA (MD)?
Save NPI 1629091608 if you need a stable reference for KUMARA SIDHARTHA (MD).
Is KUMARA SIDHARTHA (MD) active in the national directory?
KUMARA SIDHARTHA (MD)'s public NPI profile is in an active state.
What field does KUMARA SIDHARTHA (MD) work in?
You can think of KUMARA SIDHARTHA (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for KUMARA SIDHARTHA (MD)?
We surface South Yarmouth, Massachusetts for KUMARA SIDHARTHA (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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