Active NPI 1528048709 Individual Practitioner Male Practitioner

Dr. Brijendra Kumar , MD

Internal Medicine • Newark, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brijendra Kumar, MD is a certified Internal Medicine practicing in Newark, DE. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Kumar delivers high-quality medical care to the local community at 111 CONTINENTAL DR.

Dr. Kumar maintains professional affiliations with Hospital Medicine Associates Llc, Christiana Care Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 Continental Dr
Suite 406

Newark, DE 197134306

Telephone 3023682630

Fax 3023681271

Associated Practice Facility / Clinic

🏢 Anestahealth, P.a. Facility NPI 1861419442

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Newark, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +11.4 yrs vs City Avg

City Avg: 16.6 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

243 Specialists

Practicing in Newark, DE (625 Statewide)

Telehealth Adoption Rate

11.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (28 Years) 28 Yrs

Newark Specialty Average (16.6 Years) 16.6 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	416	400	$557.56	$167.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	266	263	$381.60	$126.40
99221 Initial hospital inpatient care per day, typically 30 minutes	36	36	$284.08	$80.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	579	560	$539.74	$174.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	352	348	$370.25	$130.12
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$278.54	$83.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$192.64	$79.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	394	382	$466.82	$200.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	277	272	$322.93	$136.53
99220 Hospital observation care, typically 70 minutes	68	68	$441.21	$178.49
99219 Hospital observation care, typically 50 minutes	55	55	$321.42	$133.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	26	$173.00	$72.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	301	292	$437.00	$203.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	283	278	$297.20	$138.13
99219 Hospital observation care, typically 50 minutes	57	56	$290.00	$136.70
99220 Hospital observation care, typically 70 minutes	36	36	$399.00	$185.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	15	$155.00	$70.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$223.00	$105.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	309	305	$297.18	$142.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	187	187	$437.00	$208.78
99219 Hospital observation care, typically 50 minutes	72	72	$290.00	$141.17
99221 Initial hospital inpatient care per day, typically 30 minutes	61	61	$220.28	$105.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	28	$156.71	$74.82
99220 Hospital observation care, typically 70 minutes	22	22	$399.00	$192.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	278	275	$440.21	$204.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	189	187	$306.48	$139.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	75	$157.42	$73.92
99219 Hospital observation care, typically 50 minutes	52	52	$290.00	$138.16
99220 Hospital observation care, typically 70 minutes	31	31	$399.00	$188.67
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$245.00	$103.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	314	310	$484.85	$206.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	229	224	$303.18	$138.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	97	94	$163.66	$74.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	85	65	$270.72	$106.19
99221 Initial hospital inpatient care per day, typically 30 minutes	62	62	$243.74	$102.17
99219 Hospital observation care, typically 50 minutes	49	48	$290.00	$138.59
99220 Hospital observation care, typically 70 minutes	24	24	$421.75	$189.62
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$169.00	$52.17
99239 Hospital discharge day management, more than 30 minutes	12	12	$284.00	$109.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,232	656	$267.86	$104.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	904	852	$523.11	$202.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	533	263	$185.53	$72.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	137	135	$371.29	$137.05
99239 Hospital discharge day management, more than 30 minutes	106	106	$276.87	$107.64
99220 Hospital observation care, typically 70 minutes	85	85	$477.01	$185.85
99291 Critical care, first 30-74 minutes	46	44	$585.09	$223.81
99226 Subsequent observation care, typically 35 minutes per day	34	30	$269.21	$105.09
99217 Hospital observation care on day of discharge	20	20	$188.95	$72.95
99356 Prolonged inpatient or observation hospital service, first hour	14	13	$238.00	$92.01
99238 Hospital discharge day management, 30 minutes or less	11	11	$189.55	$72.56

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License DE C10006245

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

1528048709 (DE)

Hospital & Practice Group Affiliations

Hospital Medicine Associates Llc

1240 Mckee Rd, Dover, DE 199041381

Phone: 3026725800

Christiana Care Health Services Inc

4755 Ogletown Stanton Rd, Newark, DE 197182200

Phone: 3026230188

Hospital Medicine Associates Llc

250 E Hampden Rd, Middletown, DE 197095303

Phone: 3024643400

Practice Associates & Co-Workers

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

26 Associated Practitioners

Dr. Suresh Trivedi , MD

Internal Medicine

NPI 1003886326

Doctor of Medicine (M.D.)

Dr. Rabia Qureshi , MD

Family Medicine

NPI 1013275817

Doctor of Medicine (M.D.)

Dr. Kunal Bhagat , MD

Internal Medicine

NPI 1023080520

Doctor of Medicine (M.D.)

Dr. Vivek Reddy , MD

Internal Medicine

NPI 1053448431

Doctor of Medicine (M.D.)

Dr. Syeda Aisha Nazim , MD

Internal Medicine

NPI 1063845667

Doctor of Medicine (M.D.)

Dr. David Britchkow , MD

Internal Medicine

NPI 1124020094

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 17, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 17, 2014

Registered at 111 CONTINENTAL DR, SUITE 406, NEWARK, DE 197134306 (Tel: 3023682630)

📍

Updated Business Mailing Address April 17, 2014

Registered at 111 CONTINENTAL DR, SUITE 406, NEWARK, DE 197134306 (Tel: 3023682630)

👤

Provider Name / Credentials Updated April 17, 2014

Recorded as BRIJENDRA KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2014

Internal Medicine (License #C10006245 in DE)

🟢

Initial NPI Registration & Enumeration January 23, 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: 1528048709

Entity Type:

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

Enumeration Date: January 23, 2006

Last Update: April 17, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

111 Continental Dr, Suite 406

Newark, DE 197134306

Phone: 3023682630

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.