Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043268691 Individual Practitioner Female Practitioner

Dr. Prathibha Kumar , MD

Internal Medicine • Hamden, CT

Professional Overview & Biography Verified Profile Summary

Dr. Prathibha Kumar, MD is a registered healthcare professional specializing in Internal Medicine in Hamden, CT. Practice services are available at 2543 DIXWELL AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, chronic care management services, first, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2543 Dixwell Ave

Hamden, CT 065141860

Telephone 2032304160
Fax 2038482484
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Hamden, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.5 Yrs
State Avg: 30.4 Yrs
Regional Practice Density
38 Specialists

Practicing in Hamden, CT (2753 Statewide)

Telehealth Adoption Rate
47.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
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
85 47 $175.00 $117.75
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
45 12 $50.00 $44.92
99213 Established patient office or other outpatient visit, typically 15 minutes
19 17 $120.00 $80.65
G0444 Annual depression screening, 5 to 15 minutes
15 15 $25.00 $19.79
93000 Routine ekg using at least 12 leads including interpretation and report
12 11 $85.00 $18.72

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CT 032669

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Suni Jacob , APRN

Nurse Practitioner

NPI 1194709402

Advanced Practice Registered Nurse

Dr. Babu Kumar , MD

Internal Medicine

NPI 1295721942

Doctor of Medicine (M.D.)

Kara Strippoli , PA

Physician Assistant - Medical

NPI 1417984576

Physician Assistant

Kevin Leonard-Pasley , PA

Physician Assistant - Medical

NPI 1790898401

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2015

Registered at 2543 DIXWELL AVE, HAMDEN, CT 065141860 (Tel: 2032304160)

📍
Updated Business Mailing Address August 13, 2015

Registered at 2543 DIXWELL AVE, HAMDEN, CT 065141860 (Tel: 2032304160)

👤
Provider Name / Credentials Updated August 13, 2015

Recorded as PRATHIBHA KUMAR, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2015

Internal Medicine (License #032669 in CT)

🟢
Initial NPI Registration & Enumeration May 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Prathibha Kumar. Be the first to share your experience!

Sign in to leave a review for Dr. Prathibha Kumar

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1043268691
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2006
Last Update: August 13, 2015
Sole Proprietor: Yes

Mailing Address

2543 Dixwell Ave

Hamden, CT 065141860

Phone: 2032304160

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.