Active NPI 1295729200 Individual Practitioner Male Practitioner

Dr. Naveen Kumar , MD

Internal Medicine • Melbourne, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Naveen Kumar, MD is a certified Internal Medicine practicing in Melbourne, FL. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Kumar delivers high-quality medical care to the local community at 5462 EMMA LAKE CT.

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, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5462 Emma Lake Ct

Melbourne, FL 329342838

Telephone 3217524246

Fax 3219526296

Associated Practice Facility / Clinic

🏢 Healthy Journeys Inc Facility NPI 1457422818

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Melbourne, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +11.4 yrs vs City Avg

City Avg: 29.6 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

90 Specialists

Practicing in Melbourne, FL (10650 Statewide)

Telehealth Adoption Rate

37.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (41 Years) 41 Yrs

Melbourne Specialty Average (29.6 Years) 29.6 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	383	29	$200.00	$116.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	309	88	$150.23	$124.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	265	20	$120.00	$77.06
99213 Established patient office or other outpatient visit, typically 15 minutes	99	37	$125.00	$88.16
36415 Insertion of needle into vein for collection of blood sample	64	38	$15.31	$8.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	25	$300.00	$169.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$175.00	$172.31

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	289	100	$150.00	$125.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	209	38	$200.00	$118.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	180	28	$120.00	$78.61
36415 Insertion of needle into vein for collection of blood sample	134	70	$15.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	132	48	$125.00	$88.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$300.00	$172.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$175.00	$172.28
99238 Hospital discharge day management, 30 minutes or less	12	12	$140.00	$79.83

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	672	130	$200.00	$102.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	477	66	$120.00	$70.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	324	104	$150.00	$127.22
36415 Insertion of needle into vein for collection of blood sample	152	78	$15.00	$2.96
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	144	67	$64.54	$47.25
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	135	70	$821.33	$62.93
99213 Established patient office or other outpatient visit, typically 15 minutes	133	54	$125.00	$90.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	132	106	$300.00	$197.59
99238 Hospital discharge day management, 30 minutes or less	95	74	$140.00	$71.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	23	$175.00	$174.78
81002 Urinalysis, manual test	19	17	$12.00	$3.44
99291 Critical care, first 30-74 minutes	16	12	$500.00	$221.18

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	914	128	$200.00	$103.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	536	78	$120.00	$72.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	379	120	$150.00	$130.78
99213 Established patient office or other outpatient visit, typically 15 minutes	174	69	$124.97	$92.14
36415 Insertion of needle into vein for collection of blood sample	170	89	$15.00	$3.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	158	104	$300.00	$203.08
99238 Hospital discharge day management, 30 minutes or less	129	79	$140.00	$72.32
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	50	15	$10.00	$1.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	20	$175.00	$176.69
93000 Routine ekg using at least 12 leads including interpretation and report	24	23	$40.00	$14.93
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	18	$143.95	$117.93

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	765	125	$200.00	$107.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	442	139	$150.11	$109.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	362	59	$121.10	$74.41
99213 Established patient office or other outpatient visit, typically 15 minutes	255	91	$125.00	$75.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	164	113	$300.00	$208.44
36415 Insertion of needle into vein for collection of blood sample	154	95	$15.00	$2.99
99238 Hospital discharge day management, 30 minutes or less	145	97	$140.00	$74.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	86	31	$45.00	$14.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	80	12	$21.00	$1.47
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	62	25	$10.32	$1.99
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	11	$40.00	$22.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	26	$175.00	$148.25
G0008 Administration of influenza virus vaccine	31	29	$34.52	$16.54
90756 Vaccine for influenza for injection into muscle	27	27	$35.19	$27.40
20610 Aspiration and/or injection of fluid from large joint	22	13	$164.09	$61.56
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$40.00	$17.14
99495 Transitional care management services for problem of at least moderate complexity	14	13	$200.00	$184.73
90670 Pneumococcal vaccine for injection into muscle	12	12	$182.50	$159.90
G0009 Administration of pneumococcal vaccine	11	11	$40.91	$16.51

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	1,320	206	$201.20	$104.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	524	152	$150.11	$107.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	339	93	$120.24	$73.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	277	207	$300.00	$203.35
99238 Hospital discharge day management, 30 minutes or less	219	167	$141.83	$73.13
99213 Established patient office or other outpatient visit, typically 15 minutes	193	83	$125.13	$73.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	84	57	$175.00	$144.40
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	66	25	$10.15	$1.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	64	25	$45.00	$16.36
90756 Vaccine for influenza for injection into muscle	51	48	$22.75	$21.63
99239 Hospital discharge day management, more than 30 minutes	18	18	$160.00	$107.09
99291 Critical care, first 30-74 minutes	17	14	$500.00	$225.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$111.91	$109.88
J1885 Injection, ketorolac tromethamine, per 15 mg	14	13	$21.43	$0.50
G0008 Administration of influenza virus vaccine	12	12	$35.00	$16.24

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	1,512	283	$200.00	$101.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	638	150	$120.13	$71.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	527	169	$149.98	$103.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	317	242	$300.00	$198.18
99238 Hospital discharge day management, 30 minutes or less	277	220	$140.00	$71.08
99213 Established patient office or other outpatient visit, typically 15 minutes	190	90	$125.00	$70.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	51	24	$45.49	$19.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	37	$175.00	$139.87
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	44	18	$10.00	$1.94
90756 Vaccine for influenza for injection into muscle	32	32	$39.06	$22.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	24	$80.00	$41.91
99291 Critical care, first 30-74 minutes	25	17	$500.00	$218.80
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	14	$40.00	$20.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$111.91	$109.67
99239 Hospital discharge day management, more than 30 minutes	14	14	$160.00	$104.58
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$250.00	$201.18

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	1,377	226	$120.06	$67.59
99213 Established patient office or other outpatient visit, typically 15 minutes	666	181	$125.11	$67.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	382	103	$200.05	$97.84
99238 Hospital discharge day management, 30 minutes or less	256	195	$140.00	$67.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	141	$150.20	$99.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	239	194	$299.58	$190.22
36415 Insertion of needle into vein for collection of blood sample	129	93	$14.88	$2.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	40	$44.93	$23.21
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	59	23	$20.00	$1.79
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	41	18	$10.00	$3.31
85610 Blood test, clotting time	36	14	$15.00	$5.28
20610 Aspiration and/or injection of fluid from large joint	32	20	$150.94	$55.92
99219 Hospital observation care, typically 50 minutes	29	29	$200.00	$127.33
G0008 Administration of influenza virus vaccine	25	25	$35.20	$24.61
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$37.92	$15.77
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	21	19	$15.24	$5.54
81002 Urinalysis, manual test	18	16	$12.00	$3.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	14	$175.00	$133.81
99217 Hospital observation care on day of discharge	16	16	$140.00	$68.06
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	14	$40.00	$18.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$200.00	$154.14
90630 Vaccine for influenza for injection into skin	13	13	$47.72	$19.93

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME80294

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

Commercial Insurance / Payer ID Bluecross Blueshield

35331 (FL)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Craig Badolato , MD

Internal Medicine - Hematology & Oncology

NPI 1013998970

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 5462 EMMA LAKE CT, MELBOURNE, FL 329342838 (Tel: 3217524246)

📍

Updated Business Mailing Address July 08, 2007

Registered at 5462 EMMA LAKE CT, MELBOURNE, FL 329342838 (Tel: 3217524246)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as NAVEEN KUMAR, MD

🎓

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

Internal Medicine (License #ME80294 in FL)

🟢

Initial NPI Registration & Enumeration September 06, 2005

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. Naveen Kumar. Be the first to share your experience!

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

NPI Administrative Meta

NPI Number: 1295729200

Entity Type:

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

Enumeration Date: September 06, 2005

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5462 Emma Lake Ct

Melbourne, FL 329342838

Phone: 3217524246

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.