PRIYANKA KUMAR – Urology Physician, NPI 1295078418

PRIYANKA KUMAR is a healthcare provider. based in Detroit, Michigan. specializing in UROLOGY. They hold a License No. 01080766A (IN). The NPI Number for PRIYANKA KUMAR is 1295078418

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
PRIYANKA KUMAR
NPI
1295078418
Phone
(313) 577-5009
Address
4201 Saint Antoine St
Enumeration Date
6 April 2013
Last Update Date
11 September 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2197698641
Graduation Year
2013 (13 years ago)
PAC ID
0749582724
Group Practice PAC ID
8628975562
Professional Enrollment ID
I20181018000570
Address ID
IN464106248ME400XXDRXX400

Contacts

Secure Messaging
pkumar404639@Direct.FranciscanAlliance.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

469 UROLOGY in MI

Provider Addresses for PRIYANKA KUMAR

  • 4201 Saint Antoine St

    University Health Center 6C

    Detroit, MI 482012153

    Phone: (313) 577-5009

    Type: Location

  • 4320 Fir Street

    Suite 220

    East Chicago, IN 46312

    Phone: (219) 703-2591

    Type: Location

  • 1104 E Grace St

    Rensselaer, IN 479783211

    Phone: (219) 866-2010

    Fax: (219) 866-9893

    Type: Location

  • 4320 FIR STREET

    SUITE 220

    EAST CHICAGO, IN 46312

    Phone: (219) 703-2591

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 164 Open Payments records for all available years, with a total value of $3,537.

Total Amount is formed as General ($3,537) + Research ($0) + Ownership ($0) = $3,537.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($624).

Total Amount

$3,537

General + Research + Ownership

Payments

164

Total payment records

General Amount

$3,537

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2018-10-18

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
I20181018000570IUrologyINTBD

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
J0585Injection, onabotulinumtoxina, 1 unit1,80017$0
81003Automated urinalysis test913571$0
99214Established patient office or other outpatient visit, 30-39 minutes484319$0
51798Ultrasound measurement of bladder capacity after voiding417339$0
99213Established patient office or other outpatient visit, 20-29 minutes336288$0
View full utilization report →

Insurance plans in this area (ZIP 48201)

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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: 8628975562View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
U R O L O G YIN
U R O L O G YIN
U R O L O G YIL
U R O L O G YIN
U R O L O G YIN
Nurse PractitionerIL
U R O L O G YIL
Nurse PractitionerIN

Reviews

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Frequently asked questions

How do payers reference PRIYANKA KUMAR?
For PRIYANKA KUMAR, use NPI 1295078418 as the unique 10-digit identifier.
Active or inactive — what applies to PRIYANKA KUMAR?
You should see PRIYANKA KUMAR as active in CMS-hosted NPPES data.
What expertise is attributed to PRIYANKA KUMAR?
PRIYANKA KUMAR's specialty line reads Urology Physician. Clinical services aligned with this taxonomy classification.
Is PRIYANKA KUMAR associated with Detroit?
Public fields place PRIYANKA KUMAR around Detroit, Michigan. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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