DR. RADHA KRISHNA KUMAR (MD) – Family Medicine Physician, NPI 1649258658

DR. RADHA KRISHNA KUMAR (MD) is a healthcare provider. based in Bloomington, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 45018 (MN). The NPI Number for DR. RADHA KRISHNA KUMAR (MD) is 1649258658

Main info

Female
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. RADHA KRISHNA KUMAR (MD)
NPI
1649258658
Phone
(952) 942-6789
Address
9358 ENSIGN AVE S STE C
Enumeration Date
9 January 2006
Last Update Date
14 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5073882120
Graduation Year
1990 (36 years ago)
PAC ID
1254395635
Group Practice PAC ID
7012944085
Professional Enrollment ID
I20041116000257
Address ID
MN560015422MA309XXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

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Provider Addresses for DR. RADHA KRISHNA KUMAR (MD)

  • 9358, Ensign Avenue South, Bloomington, Hennepin County, Minnesota, 55438, United States

    BLOOMINGTON, MN 554381474

    Phone: (952) 942-6789

    Mailing address matches the actual address.

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: 2004-11-16

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
I20041116000257IFamily PracticeMNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 55438)

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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: 7012944085View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN
-MN
Clinical Social WorkerMN
Nurse PractitionerMN
-MN
Marriage And Family TherapistMN
Nurse PractitionerMN
Nurse PractitionerMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

How do I look up DR. RADHA KRISHNA KUMAR (MD) by NPI?
Use NPI 1649258658 when you need to reference DR. RADHA KRISHNA KUMAR (MD) in forms, claims, or directories.
Is DR. RADHA KRISHNA KUMAR (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. RADHA KRISHNA KUMAR (MD)'s specialty in plain language?
Clinically, the directory lists DR. RADHA KRISHNA KUMAR (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. RADHA KRISHNA KUMAR (MD)'s primary listing?
We display Bloomington, Minnesota because that is what the record indicates for DR. RADHA KRISHNA KUMAR (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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