SANTOSH KUMAR (MD) – Family Medicine Physician, NPI 1265695241

SANTOSH KUMAR (MD) is a healthcare provider. based in Papillion, Nebraska. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 5825 (NE). The NPI Number for SANTOSH KUMAR (MD) is 1265695241

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
SANTOSH KUMAR (MD)
NPI
1265695241
Phone
(402) 827-4900
Address
11109 S 84th St Ste 5800
Enumeration Date
9 July 2008
Last Update Date
2 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3087544421
Graduation Year
2006 (20 years ago)
PAC ID
1951570092
Group Practice PAC ID
5698775849
Professional Enrollment ID
I20200116000260
Address ID
NE688731546SA1113XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

238 EMERGENCY MEDICINE in NE

Provider Addresses for SANTOSH KUMAR (MD)

  • 11109 S 84th St Ste 5800

    Papillion, NE 680464124

    Phone: (402) 827-4900

    Type: Location

  • 300 Pershing Ave

    Shenandoah, IA 516012355

    Phone: (712) 246-1230

    Fax: (712) 246-7414

    Type: Location

  • South 84th Street, Papillion, Sarpy County, Nebraska, 68046, United States

    PAPILLION, NE 680464124

    Phone: (402) 827-4900

    Type: Location

  • 810 N 22ND ST

    BLAIR, NE 680081128

    Phone: (402) 426-2182

    Type: Location

  • 7261, Mercy Road, Omaha, Douglas County, Nebraska, 68124, United States

    OMAHA, NE 681242311

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-01-10 • Largest payer in this snapshot: ABBVIE INC. ($34).

Total Amount

$49

General + Research + Ownership

Payments

3

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110808000254IEmergency MedicineIATBD
I20200116000260IFamily PracticeNETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68046)

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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: 5698775849View full group profile
NameSpecialtyState
Pain ManagementNE
Physician AssistantNE
Family PracticeNE
Family PracticeNE
Physician AssistantNE
Clinical Social WorkerNE
Family PracticeNE
Family PracticeNE
Nurse PractitionerNE
Mental Health CounselorNE

Reviews

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Frequently asked questions

Is there an official ID for SANTOSH KUMAR (MD) in U.S. healthcare records?
The official identifier for SANTOSH KUMAR (MD) is NPI 1265695241.
Is SANTOSH KUMAR (MD) shown as active in public data?
Registry records indicate SANTOSH KUMAR (MD) maintains an active NPI.
How would a patient describe SANTOSH KUMAR (MD)'s focus?
For SANTOSH KUMAR (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SANTOSH KUMAR (MD)?
Travel planning: use Papillion, Nebraska as the reference point for SANTOSH KUMAR (MD), then confirm.
Can I trust this NPI listing for SANTOSH KUMAR (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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