DR. VIJAY KUMAR (MD) – Rheumatology Physician, NPI 1972506236
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
503 RHEUMATOLOGY in TX
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Provider Addresses for DR. VIJAY KUMAR (MD)
College Street, Beaumont, Jefferson County, Texas, 77707, United States
SUITE 130
BEAUMONT, TX 777014683
Phone: (409) 833-9797
Fax: (409) 654-6917
Type: Location
2929 CALDER ST
SUITE 100
BEAUMONT, TX 777021845
Phone: (409) 833-9797
Fax: (409) 839-3174
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $143.
Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($95).
Total Amount
$143
General + Research + Ownership
Payments
2
Total payment records
General Amount
$143
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $95 |
| Aurinia Pharma U.S., Inc. | $48 |
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: 2008-01-22
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 |
|---|---|---|---|---|
| I20080122000780 | I | Rheumatology | TX | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 890 | 329 | $0 |
| 85652 | Red blood cell sedimentation rate, to detect inflammation, automated | 858 | 329 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 833 | 299 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 814 | 324 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 809 | 324 | $0 |
Insurance plans in this area (ZIP 77701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RHEUMATOLOGY | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 208 | 97 |
| RHEUMATOLOGY | TX | 73562 | X-ray of knee, 3 views | 151 | 79 |
| RHEUMATOLOGY | TX | 83036 | Hemoglobin A1C level | 19 | 19 |
| RHEUMATOLOGY | TX | 96415 | Infusion of chemotherapy into a vein | 101 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Family Practice | PA | |
| Family Practice | TX |
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