Active NPI 1326357955 Individual Practitioner Female Practitioner

Dr. Catherine N Kumaradhas , MD

Internal Medicine • Derby, CT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Catherine Kumaradhas, MD is a certified Internal Medicine practicing in Derby, CT. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Kumaradhas delivers high-quality medical care to the local community at 130 DIVISION ST.

Dr. Kumaradhas maintains professional affiliations with Rehabilitation Associates Inc, Northeast Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

130 Division St

Derby, CT 064181326

Telephone 2037327327

Associated Practice Facility / Clinic

🏢 Cardiology Associates Of Derby Pc Facility NPI 1851361844

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Derby, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +2.4 yrs vs City Avg

City Avg: 18.6 Yrs

State Avg: 30.4 Yrs

Regional Practice Density

47 Specialists

Practicing in Derby, CT (2753 Statewide)

Telehealth Adoption Rate

10.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

53.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumaradhas (21 Years) 21 Yrs

Derby Specialty Average (18.6 Years) 18.6 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	261	165	$360.00	$195.38
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	190	132	$51.00	$17.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	119	$268.00	$139.28
99497 Advance care planning, first 30 minutes	168	167	$181.00	$89.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	151	151	$400.00	$142.77
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	88	34	$81.00	$51.68
93000 Routine ekg using at least 12 leads including interpretation and report	77	75	$90.00	$15.66
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	74	34	$147.00	$67.37
G0008 Administration of influenza virus vaccine	38	37	$51.00	$33.90
90653 Vaccine for influenza for injection into muscle	28	28	$86.00	$81.82
99495 Transitional care management services for problem of at least moderate complexity	12	11	$541.00	$225.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	292	178	$360.00	$189.67
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	218	46	$147.00	$65.99
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	184	43	$70.49	$47.65
99497 Advance care planning, first 30 minutes	180	179	$181.00	$86.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	172	172	$400.00	$137.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	75	$268.00	$135.70
93000 Routine ekg using at least 12 leads including interpretation and report	77	74	$90.00	$15.49
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	66	12	$135.00	$74.49
G0008 Administration of influenza virus vaccine	51	51	$51.00	$32.50
90662 Influenza vaccine split virus, preservative free	47	47	$131.00	$71.93
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	20	13	$265.00	$140.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	135	$268.00	$139.08
99497 Advance care planning, first 30 minutes	183	156	$181.00	$90.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	149	149	$400.00	$141.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	144	120	$360.00	$194.36
93000 Routine ekg using at least 12 leads including interpretation and report	72	69	$90.00	$15.62
G0008 Administration of influenza virus vaccine	41	40	$51.00	$31.99
90662 Influenza vaccine split virus, preservative free	38	37	$129.50	$68.45
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	34	19	$60.56	$46.12
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	34	23	$147.00	$67.89
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$182.00	$98.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	164	$268.00	$141.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	124	124	$400.00	$145.11
93000 Routine ekg using at least 12 leads including interpretation and report	80	77	$90.00	$16.29
99497 Advance care planning, first 30 minutes	72	72	$181.00	$92.24
G0008 Administration of influenza virus vaccine	46	46	$51.00	$18.53
90662 Influenza vaccine split virus, preservative free	43	43	$74.00	$65.26
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$182.00	$99.83
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$600.00	$183.40
99496 Transitional care management services for problem of high complexity	16	13	$734.00	$305.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$415.00	$182.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	265	135	$268.00	$119.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	89	89	$400.00	$126.19
93000 Routine ekg using at least 12 leads including interpretation and report	71	64	$90.00	$18.81
99443 Telephone medical discussion with physician, 21-30 minutes	32	26	$140.00	$118.82
G0008 Administration of influenza virus vaccine	31	31	$51.00	$18.32
90662 Influenza vaccine split virus, preservative free	27	27	$74.00	$60.75
99497 Advance care planning, first 30 minutes	26	26	$181.00	$93.48
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$600.00	$186.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$415.00	$179.79
99442 Telephone medical discussion with physician, 11-20 minutes	15	14	$95.00	$82.38
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$182.00	$82.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	321	147	$268.00	$117.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	104	104	$400.00	$126.72
93000 Routine ekg using at least 12 leads including interpretation and report	63	61	$90.00	$18.62
90662 Influenza vaccine split virus, preservative free	53	53	$74.00	$54.69
G0008 Administration of influenza virus vaccine	53	53	$51.00	$17.96
96127 Assessment of emotional or behavioral problems	51	48	$18.00	$5.98
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$182.00	$80.81
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$600.00	$186.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$360.00	$157.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$415.00	$178.40
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$147.00	$109.05
G0009 Administration of pneumococcal vaccine	11	11	$51.00	$17.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	230	137	$268.00	$115.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	104	104	$400.00	$125.55
99213 Established patient office or other outpatient visit, typically 15 minutes	101	72	$182.00	$78.70
93000 Routine ekg using at least 12 leads including interpretation and report	63	63	$90.00	$18.50
G0008 Administration of influenza virus vaccine	52	51	$51.00	$22.26
90653 Vaccine for influenza for injection into muscle	44	43	$48.00	$47.04
96127 Assessment of emotional or behavioral problems	30	30	$18.00	$7.14
G0009 Administration of pneumococcal vaccine	21	21	$51.00	$22.26
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	12	$141.00	$58.04
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$147.00	$105.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	106	$268.00	$111.78
99213 Established patient office or other outpatient visit, typically 15 minutes	140	75	$182.00	$76.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$400.00	$120.61
93000 Routine ekg using at least 12 leads including interpretation and report	72	64	$90.00	$17.93
G0008 Administration of influenza virus vaccine	38	38	$51.00	$27.77
90653 Vaccine for influenza for injection into muscle	28	28	$48.00	$47.04
G0009 Administration of pneumococcal vaccine	21	21	$51.00	$27.77
90670 Pneumococcal vaccine for injection into muscle	14	14	$305.00	$180.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$415.00	$170.54
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$600.00	$177.29

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CT 052409

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Rehabilitation Associates Inc

1931 Black Rock Tpke, Fairfield, CT 068253506

Phone: 2033848681

Northeast Medical Group Inc

800 Howard Ave, New Haven, CT 065191369

Phone: 2036884242

Northeast Medical Group Inc

95 Armory Rd, Stratford, CT 066141702

Phone: 2033843388

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Genevieve Kela , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003466160

Doctor of Medicine (M.D.)

Dr. Sirjana Subedi , MD

Student in an Organized Health Care Education/Training Program

NPI 1013769009

Doctor of Medicine (M.D.)

Dr. Robert Manos , DO

Radiology - Diagnostic Radiology

NPI 1033679758

Doctor of Osteopathic Medicine (D.O.)

Dr. Jenny Abdulkarim , MD

Student in an Organized Health Care Education/Training Program

NPI 1033795729

Doctor of Medicine (M.D.)

Dr. Muhammad Huzaifa Javaid , MD

Student in an Organized Health Care Education/Training Program

NPI 1033964119

Doctor of Medicine (M.D.)

Dr. Muhammad Waqar , MD

Student in an Organized Health Care Education/Training Program

NPI 1033964945

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2019

Internal Medicine (License #052409 in CT)

✅

NPI Profile Active September 30, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2010

Registered at 130 DIVISION ST, DERBY, CT 064181326 (Tel: 2037327327)

📍

Updated Business Mailing Address September 30, 2010

Registered at 52 GREENBRIAR RD, OXFORD, CT 064781149 (Tel: 2039545584)

👤

Provider Name / Credentials Updated September 30, 2010

Recorded as CATHERINE KUMARADHAS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2010

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration September 30, 2010

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: 1326357955

Entity Type:

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

Enumeration Date: September 30, 2010

Last Update: March 06, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

52 Greenbriar Rd

Oxford, CT 064781149

Phone: 2039545584

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

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