SHEETAL KUMAR (DO) – Internal Medicine Physician, NPI 1942682133
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
476 HEMATOLOGY/ONCOLOGY in MI
Provider Addresses for SHEETAL KUMAR (DO)
1 GENESYS PKWY
GRAND BLANC, MI 484398065
Phone: (810) 606-5000
Type: Location
1454 S County Trl Ste 2200
East Greenwich, RI 028181749
Phone: (401) 606-2000
Fax: (401) 606-2001
Type: Location
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 029054541
Phone:
Type: Mailing
164 SUMMIT AVE
PROVIDENCE, RI 029062853
Phone: (401) 793-2920
Fax: (401) 793-2859
Type: Location
14500 99TH AVE N
MAPLE GROVE, MN 553694730
Phone: (763) 898-1000
Fax: (763) 898-1009
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-01-08
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 |
|---|---|---|---|---|
| I20250108002678 | I | Hematology/Oncology | RI | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 368 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 217 | 80 | $0 |
| 88185 | Flow cytometry technique for dna or cell analysis, each additional marker | 204 | 13 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 159 | 73 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 132 | 55 | $0 |
Insurance plans in this area (ZIP 48439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | RI | |
| E N D O C R I N O L O G Y | RI | |
| - | RI | |
| Pain Management | RI | |
| Hematology/Oncology, Internal Medicine | RI | |
| Gastroenterology, Pediatric Medicine | RI | |
| N E U R O L O G Y | RI | |
| Internal Medicine | RI | |
| - | RI | |
| N E U R O L O G Y | RI |
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