Active NPI 1295721942 Individual Practitioner Male Practitioner

Dr. Babu Shiva Kumar , MD

Internal Medicine • Hamden, CT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Babu Kumar, MD is a certified Internal Medicine practicing in Hamden, CT. With approximately 44 years of clinical experience since completing medical education in 1982, Dr. Kumar delivers high-quality medical care to the local community at 2543 DIXWELL AVE.

Dr. Kumar is affiliated with Family And Internal Medicine Of Dixwell Avenue 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, 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 065141809

Telephone 2032304160

Fax 2038482484

Associated Practice Facility / Clinic

🏢 Family And Internal Medicine Of Dixwell Avenue Facility NPI 1962681684

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Hamden, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +13.5 yrs vs City Avg

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

✓ Offers Virtual Consultations

Medicare Pricing Discount

26.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (44 Years) 44 Yrs

Hamden Specialty Average (30.5 Years) 30.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	613	315	$175.04	$136.68
99213 Established patient office or other outpatient visit, typically 15 minutes	501	256	$120.00	$92.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	156	156	$175.00	$138.87
G0444 Annual depression screening, 5 to 15 minutes	147	147	$25.00	$20.45
99497 Advance care planning, first 30 minutes	124	124	$95.00	$87.03
93000 Routine ekg using at least 12 leads including interpretation and report	58	52	$85.00	$15.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	51	20	$60.00	$15.38
G0008 Administration of influenza virus vaccine	46	45	$30.00	$29.40
90653 Vaccine for influenza for injection into muscle	37	37	$88.65	$74.22
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	36	35	$75.00	$39.42
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	35	19	$20.00	$1.28
81002 Urinalysis, manual test	31	27	$25.00	$3.41
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$90.00	$68.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$180.00	$118.97
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$300.00	$291.31
G0009 Administration of pneumococcal vaccine	11	11	$30.00	$29.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	648	332	$120.00	$94.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	544	297	$175.00	$136.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	185	185	$175.00	$138.43
99497 Advance care planning, first 30 minutes	140	140	$95.00	$87.64
G0444 Annual depression screening, 5 to 15 minutes	138	138	$25.00	$20.07
93000 Routine ekg using at least 12 leads including interpretation and report	75	67	$85.00	$15.61
G0008 Administration of influenza virus vaccine	58	58	$30.00	$29.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	15	$60.00	$15.25
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	45	45	$75.56	$73.33
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	31	14	$20.00	$1.52
81002 Urinalysis, manual test	26	24	$25.00	$3.41
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	24	22	$75.00	$40.55
99442 Telephone medical discussion with physician, 11-20 minutes	22	16	$90.00	$75.07
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	18	18	$35.00	$33.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$180.00	$120.20
G0009 Administration of pneumococcal vaccine	11	11	$30.00	$29.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	700	350	$120.00	$97.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	664	347	$175.00	$138.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	126	126	$175.00	$142.18
G0444 Annual depression screening, 5 to 15 minutes	99	99	$25.00	$20.33
93000 Routine ekg using at least 12 leads including interpretation and report	78	73	$85.00	$15.52
81002 Urinalysis, manual test	61	48	$25.00	$3.38
99497 Advance care planning, first 30 minutes	57	57	$95.00	$90.57
G0008 Administration of influenza virus vaccine	57	56	$30.00	$29.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	56	17	$60.00	$15.69
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	44	43	$75.00	$70.08
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	39	16	$20.00	$1.67
99442 Telephone medical discussion with physician, 11-20 minutes	31	25	$90.00	$84.69
99496 Transitional care management services for problem of high complexity	23	20	$420.00	$304.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$180.00	$121.78
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	18	18	$35.00	$31.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$215.00	$180.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	956	435	$120.00	$99.00
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	452	200	$50.00	$44.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	355	222	$175.00	$139.98
93000 Routine ekg using at least 12 leads including interpretation and report	107	94	$85.00	$15.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	103	103	$175.00	$144.91
G0444 Annual depression screening, 5 to 15 minutes	100	100	$25.00	$20.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	17	$60.00	$15.59
81002 Urinalysis, manual test	71	60	$25.00	$3.43
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	63	16	$20.00	$1.99
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	59	59	$74.83	$64.09
G0008 Administration of influenza virus vaccine	58	57	$30.00	$18.54
G0179 Physician re-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 to affirm the initial imp	42	29	$75.00	$45.26
99442 Telephone medical discussion with physician, 11-20 minutes	40	33	$90.00	$90.00
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	29	26	$80.00	$58.01
99496 Transitional care management services for problem of high complexity	20	18	$420.00	$291.72
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$27.00	$19.91
99497 Advance care planning, first 30 minutes	19	19	$95.00	$91.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$180.00	$114.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,129	520	$119.96	$81.67
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,020	279	$50.00	$45.61
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	288	195	$90.00	$90.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	167	$175.00	$118.42
99442 Telephone medical discussion with physician, 11-20 minutes	198	147	$55.45	$54.58
93000 Routine ekg using at least 12 leads including interpretation and report	89	81	$85.00	$18.66
G0179 Physician re-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 to affirm the initial imp	84	43	$75.00	$45.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	77	29	$60.00	$15.64
G0008 Administration of influenza virus vaccine	75	75	$30.00	$18.32
81002 Urinalysis, manual test	69	64	$25.00	$3.38
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	63	28	$20.00	$2.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$175.00	$127.66
G0444 Annual depression screening, 5 to 15 minutes	48	48	$25.00	$20.16
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	44	44	$65.00	$59.61
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	39	32	$80.00	$58.78
99497 Advance care planning, first 30 minutes	36	36	$95.00	$93.26
90756 Vaccine for influenza for injection into muscle	31	31	$35.00	$27.70
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	31	31	$200.00	$187.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$180.00	$118.08
G0009 Administration of pneumococcal vaccine	19	19	$30.00	$18.25
94640 Inhalation treatment for airway obstruction or sputum production	19	16	$45.00	$20.03
99496 Transitional care management services for problem of high complexity	13	13	$420.00	$265.63
90670 Pneumococcal vaccine for injection into muscle	12	12	$250.00	$230.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,731	644	$120.00	$80.30
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,401	363	$50.00	$45.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	450	292	$175.00	$116.34
G0179 Physician re-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 to affirm the initial imp	192	69	$75.00	$45.06
81002 Urinalysis, manual test	182	135	$25.00	$3.39
93000 Routine ekg using at least 12 leads including interpretation and report	176	158	$85.00	$18.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	146	35	$60.00	$18.26
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	131	34	$20.00	$1.77
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	118	91	$80.00	$58.03
G0008 Administration of influenza virus vaccine	90	88	$30.00	$17.96
94640 Inhalation treatment for airway obstruction or sputum production	72	58	$44.10	$20.45
99495 Transitional care management services for problem of at least moderate complexity	66	58	$300.00	$174.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$175.00	$126.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$179.08	$116.52
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	59	59	$200.00	$186.29
G0444 Annual depression screening, 5 to 15 minutes	50	50	$25.00	$19.84
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	34	34	$34.71	$26.52
90662 Influenza vaccine split virus, preservative free	33	32	$65.00	$54.58
82962 Blood glucose (sugar) test performed by hand-held instrument	28	26	$20.00	$3.12
90653 Vaccine for influenza for injection into muscle	28	28	$65.00	$58.34
82272 Stool analysis for blood	19	13	$25.00	$4.15
G0009 Administration of pneumococcal vaccine	18	18	$30.00	$17.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$215.00	$178.29
99497 Advance care planning, first 30 minutes	15	15	$95.00	$91.54
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$30.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,111	435	$57.35	$45.04
99213 Established patient office or other outpatient visit, typically 15 minutes	1,775	682	$116.49	$78.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	576	342	$175.00	$115.22
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	356	348	$52.02	$51.11
93000 Routine ekg using at least 12 leads including interpretation and report	240	210	$78.81	$18.41
81002 Urinalysis, manual test	188	145	$25.00	$3.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	172	36	$60.00	$21.90
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	142	35	$20.00	$1.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$180.00	$116.54
94640 Inhalation treatment for airway obstruction or sputum production	96	78	$40.00	$20.96
G0008 Administration of influenza virus vaccine	90	88	$30.00	$22.26
99495 Transitional care management services for problem of at least moderate complexity	62	55	$300.00	$176.63
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	59	59	$200.00	$184.06
90662 Influenza vaccine split virus, preservative free	42	42	$65.00	$52.30
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	41	41	$30.00	$23.57
G0179 Physician re-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 to affirm the initial imp	39	31	$75.00	$45.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$175.00	$125.55
G0444 Annual depression screening, 5 to 15 minutes	35	35	$25.00	$19.48
82962 Blood glucose (sugar) test performed by hand-held instrument	31	29	$20.00	$3.21
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	30	29	$107.00	$70.95
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	18	17	$80.00	$57.97
G0009 Administration of pneumococcal vaccine	15	15	$30.00	$22.26
90670 Pneumococcal vaccine for injection into muscle	13	13	$210.00	$200.07
99496 Transitional care management services for problem of high complexity	11	11	$420.00	$249.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,952	727	$110.00	$78.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	740	409	$175.00	$114.31
93000 Routine ekg using at least 12 leads including interpretation and report	333	279	$70.00	$18.47
81002 Urinalysis, manual test	241	178	$25.00	$3.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	149	33	$60.00	$27.15
G0008 Administration of influenza virus vaccine	114	112	$30.00	$27.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$180.00	$116.38
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	112	32	$20.00	$2.87
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	109	109	$27.00	$17.48
94640 Inhalation treatment for airway obstruction or sputum production	93	75	$40.00	$20.38
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	56	56	$197.48	$179.66
G0444 Annual depression screening, 5 to 15 minutes	36	36	$25.00	$19.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$140.14	$119.20
G0009 Administration of pneumococcal vaccine	25	25	$30.00	$27.77
82962 Blood glucose (sugar) test performed by hand-held instrument	25	20	$20.00	$3.15
82272 Stool analysis for blood	21	19	$25.00	$4.37
90670 Pneumococcal vaccine for injection into muscle	19	19	$208.95	$188.19

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CT 032892

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001328922 (CT)

Hospital & Practice Group Affiliations

Family And Internal Medicine Of Dixwell Avenue

2543 Dixwell Ave, Hamden, CT 065141860

Phone: 2032304160

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Prathibha Kumar , MD

Internal Medicine

NPI 1043268691

Doctor of Medicine (M.D.)

Suni Jacob , APRN

Nurse Practitioner

NPI 1194709402

Advanced Practice Registered Nurse

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 July 05, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 05, 2013

Registered at 2543 DIXWELL AVE, HAMDEN, CT 065141809 (Tel: 2032304160)

📍

Updated Business Mailing Address July 05, 2013

Registered at 2543 DIXWELL AVE, HAMDEN, CT 065141809 (Tel: 2032304160)

👤

Provider Name / Credentials Updated July 05, 2013

Recorded as BABU KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2013

Internal Medicine (License #032892 in CT)

🟢

Initial NPI Registration & Enumeration September 27, 2005

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: 1295721942

Entity Type:

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

Enumeration Date: September 27, 2005

Last Update: July 05, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2543 Dixwell Ave

Hamden, CT 065141809

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.