DR. IDYA PRAVEEN KUMAR (MD) – Internal Medicine Physician, NPI 1689677809

DR. IDYA PRAVEEN KUMAR (MD) is a healthcare provider. based in Cleveland, Ohio. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 35066270 (OH). The NPI Number for DR. IDYA PRAVEEN KUMAR (MD) is 1689677809

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. IDYA PRAVEEN KUMAR (MD)
NPI
1689677809
Phone
(216) 751-3100
Address
13301 MILES AVE
Enumeration Date
23 May 2005
Last Update Date
5 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168812000
Graduation Year
1978 (48 years ago)
PAC ID
5991847584
Group Practice PAC ID
5799756615
Professional Enrollment ID
I20150601001181
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

Provider Addresses for DR. IDYA PRAVEEN KUMAR (MD)

  • 13301 MILES AVE

    CLEVELAND, OH 441055521

    Phone: (216) 751-3100

    Fax: (216) 751-2480

    Type: Location

  • Hough Avenue, Hough, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441034247

    Phone: (216) 231-7700

    Type: Mailing

  • 4800 PAYNE AVE

    CLEVELAND, OH 441032443

    Phone: (216) 231-7700

    Fax: (216) 231-3828

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2024-03-05 • Largest payer in this snapshot: Abbott Laboratories ($45).

Total Amount

$84

General + Research + Ownership

Payments

4

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-05

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: 2015-06-01

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
I20150601001181IInternal MedicineOHTBD

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 44105)

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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: 5799756615View full group profile

Reviews

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Frequently asked questions

How do I look up DR. IDYA PRAVEEN KUMAR (MD) by NPI?
Use NPI 1689677809 when you need to reference DR. IDYA PRAVEEN KUMAR (MD) in forms, claims, or directories.
Is DR. IDYA PRAVEEN KUMAR (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. IDYA PRAVEEN KUMAR (MD) treat or focus on?
Patients typically see DR. IDYA PRAVEEN KUMAR (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. IDYA PRAVEEN KUMAR (MD)?
The page summarizes Cleveland, Ohio for DR. IDYA PRAVEEN KUMAR (MD); expand the address list for detail.
What if Cleveland, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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