DR. ANIL KUMAR (M.D.) – Internal Medicine Physician, NPI 1093778359
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,967 INTERNAL MEDICINE in PA
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Provider Addresses for DR. ANIL KUMAR (M.D.)
4332, Creek Road, Crackersport, Allentown, Lehigh County, Pennsylvania, 18104, United States
ALLENTOWN, PA 181043397
Phone: (484) 619-3160
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)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-11-08 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $14 |
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: 2006-10-13
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 |
|---|---|---|---|---|
| I20061013000014 | I | Internal Medicine | PA | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 254 | 127 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 109 | 60 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 103 | 99 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 65 | 63 | $0 |
| 99291 | Critical care, first 30-74 minutes | 26 | 12 | $0 |
Insurance plans in this area (ZIP 18104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | NJ | |
| - | PA | |
| Pediatric Medicine | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| N E U R O L O G Y | PA | |
| Family Practice | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA |
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