Active NPI 1235147158 Individual Practitioner Male Practitioner

Dr. Naresh Kumar , MD

Surgery • Tuscaloosa, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Naresh Kumar, MD is a certified Surgery practicing in Tuscaloosa, AL. With approximately 49 years of clinical experience since completing medical education in 1977, Dr. Kumar delivers high-quality medical care to the local community at 225 UNIVERSITY BLVD E.

Dr. Kumar accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, insertion of non-tunneled central venous tube for infusion (5 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

225 University Blvd E
Suite 303

Tuscaloosa, AL 35401

Telephone 2053454313

Fax 2053454314

Associated Practice Facility / Clinic

🏢 Naresh Kumar Md Pc Facility NPI 1700157823

Medicare Profile & Education

Medical School

Other

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tuscaloosa, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +19.6 yrs vs City Avg

City Avg: 29.4 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

19 Specialists

Practicing in Tuscaloosa, AL (471 Statewide)

Telehealth Adoption Rate

5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (49 Years) 49 Yrs

Tuscaloosa Specialty Average (29.4 Years) 29.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	767	53	$85.00	$70.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	41	$150.00	$118.92
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	20	20	$365.00	$76.05
43246 Insertion of stomach tube using a flexible endoscope	19	17	$1070.00	$172.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,105	92	$85.13	$74.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	48	$150.00	$122.38
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	36	33	$365.00	$78.81
43246 Insertion of stomach tube using a flexible endoscope	25	23	$1070.00	$169.81
43762 Replacement of stomach stoma tube	14	13	$225.00	$34.47
36800 Insertion of tube connecting vein to vein for hemodialysis	11	11	$268.00	$112.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	2,156	155	$85.00	$68.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	122	101	$150.00	$129.19
43246 Insertion of stomach tube using a flexible endoscope	77	62	$1061.79	$181.49
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	67	66	$365.00	$82.18
43762 Replacement of stomach stoma tube	22	17	$225.00	$35.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	2,618	228	$85.00	$69.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	163	142	$150.00	$131.28
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	87	83	$365.00	$83.30
43246 Insertion of stomach tube using a flexible endoscope	85	77	$1070.00	$182.49
43762 Replacement of stomach stoma tube	21	16	$225.00	$37.47
31603 Emergent surgical opening of windpipe through neck for insertion of breathing tube	15	15	$1000.00	$304.46
36800 Insertion of tube connecting vein to vein for hemodialysis	13	12	$268.00	$115.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	4,324	314	$85.00	$67.32
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	208	189	$365.00	$80.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	154	146	$142.64	$127.38
43246 Insertion of stomach tube using a flexible endoscope	89	80	$1070.00	$175.63
43762 Replacement of stomach stoma tube	28	21	$225.00	$35.16
99221 Initial hospital inpatient care per day, typically 30 minutes	24	22	$120.00	$94.49
11044 Removal of bone, 20.0 sq cm or less	16	14	$550.00	$132.67
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	15	11	$382.00	$111.10
36800 Insertion of tube connecting vein to vein for hemodialysis	11	11	$268.00	$116.24
31603 Emergent surgical opening of windpipe through neck for insertion of breathing tube	11	11	$1000.00	$301.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	4,771	361	$85.00	$65.21
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	235	218	$365.00	$76.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	127	126	$132.34	$124.00
43246 Insertion of stomach tube using a flexible endoscope	98	94	$1070.00	$170.86
99221 Initial hospital inpatient care per day, typically 30 minutes	61	55	$120.00	$92.05
43762 Replacement of stomach stoma tube	24	20	$225.00	$33.20
31603 Emergent surgical opening of windpipe through neck for insertion of breathing tube	13	13	$1000.00	$270.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	3,749	310	$83.87	$66.60
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	207	192	$365.00	$89.37
99221 Initial hospital inpatient care per day, typically 30 minutes	179	161	$120.00	$92.58
43246 Insertion of stomach tube using a flexible endoscope	72	69	$1070.00	$178.27
43760 Change of stomach feeding, accessed through the skin	29	26	$225.00	$42.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	3,720	321	$72.00	$63.65
99221 Initial hospital inpatient care per day, typically 30 minutes	218	192	$120.00	$89.67
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	190	174	$365.00	$107.55
43246 Insertion of stomach tube using a flexible endoscope	69	69	$1070.00	$171.78
43760 Change of stomach feeding, accessed through the skin	28	22	$225.00	$42.40
31502 Change of breathing tube of windpipe in neck	27	15	$150.00	$29.73
31600 Opening of windpipe through neck for insertion of breathing tube	16	16	$610.00	$336.07
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	15	14	$382.00	$110.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$197.50	$127.23
27590 Amputation of thigh through thigh bone	14	13	$2128.00	$667.20
36800 Insertion of tube connecting vein to vein for hemodialysis	11	11	$268.00	$108.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$465.00	$112.59

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AL 7801

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000043491 (AL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 225 UNIVERSITY BLVD E, SUITE 303, TUSCALOOSA, AL 35401 (Tel: 2053454313)

📍

Updated Business Mailing Address July 08, 2007

Registered at 225 UNIVERSITY BLVD E, SUITE 303, TUSCALOOSA, AL 35401 (Tel: 2053454313)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as NARESH KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #7801 in AL)

🟢

Initial NPI Registration & Enumeration August 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235147158

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 04, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

225 University Blvd E, Suite 303

Tuscaloosa, AL 35401

Phone: 2053454313

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.