Active NPI 1649483736 Individual Practitioner Male Practitioner

Dr. James Sujit Kumar , MD

Internal Medicine • Urbana, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. James Kumar, MD is a certified Internal Medicine practicing in Urbana, IL. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Kumar delivers high-quality medical care to the local community at 611 W. PARK STREET.

Dr. Kumar is affiliated with Carle Health Care Incorporated and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

611 W. Park Street
Hospitalist Services

Urbana, IL 618012500

Telephone 2173833129

Fax 2173261550

Associated Practice Facility / Clinic

🏢 Hoopeston Community Memorial Hospital Facility NPI 1467549402

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Urbana, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +11.3 yrs vs City Avg

City Avg: 15.7 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

144 Specialists

Practicing in Urbana, IL (7544 Statewide)

Telehealth Adoption Rate

4.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

75.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (27 Years) 27 Yrs

Urbana Specialty Average (15.7 Years) 15.7 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	209	81	$300.00	$76.12
99239 Hospital discharge day management, more than 30 minutes	54	51	$405.00	$109.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$730.00	$167.56
99441 Telephone medical discussion with physician, 5-10 minutes	14	13	$140.00	$33.85

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	148	60	$285.00	$78.74
99239 Hospital discharge day management, more than 30 minutes	48	43	$385.00	$113.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	16	$410.00	$118.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$700.00	$172.64

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	174	81	$275.00	$69.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	42	35	$400.00	$101.39
99213 Established patient office or other outpatient visit, typically 15 minutes	40	38	$148.13	$68.48
99239 Hospital discharge day management, more than 30 minutes	40	40	$375.00	$101.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$680.00	$196.19

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	209	86	$260.00	$71.63
99239 Hospital discharge day management, more than 30 minutes	59	58	$354.49	$104.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	27	$380.00	$102.17
99213 Established patient office or other outpatient visit, typically 15 minutes	29	19	$172.59	$82.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$649.23	$199.37

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	145	69	$250.00	$72.86
99213 Established patient office or other outpatient visit, typically 15 minutes	45	32	$166.33	$66.57
99239 Hospital discharge day management, more than 30 minutes	28	28	$340.00	$107.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$630.00	$204.13

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	147	63	$250.00	$72.91
99239 Hospital discharge day management, more than 30 minutes	42	41	$330.00	$106.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$610.00	$202.71

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	154	73	$240.00	$71.93
99239 Hospital discharge day management, more than 30 minutes	49	48	$320.00	$105.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$590.00	$200.72

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	242	98	$240.33	$70.80
99239 Hospital discharge day management, more than 30 minutes	63	63	$305.00	$104.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	31	$560.00	$196.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	27	$325.00	$101.19

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036118023

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.

Hospital & Practice Group Affiliations

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Carle Health Care Incorporated

1701 W Curtis Rd, Champaign, IL 618229678

Phone: 2173656200

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012500

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Joselyn Joseph , MD

Internal Medicine

NPI 1003068024

Doctor of Medicine (M.D.)

Dr. Chukwunonyelum Ekwempu , MD

Hospitalist

NPI 1013596733

Doctor of Medicine (M.D.)

Dr. Crystal Radnitzer , MD

Hospitalist

NPI 1033218854

Doctor of Medicine (M.D.)

Dr. Kabekode Bhat , MD

Hospitalist

NPI 1033558366

Doctor of Medicine (M.D.)

Dr. Irfan Shaikh , MD

Hospitalist

NPI 1043620610

Doctor of Medicine (M.D.)

Dr. Hasan Yaqub , DO

Internal Medicine

NPI 1063086387

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 23, 2015

Registered at 611 W. PARK STREET, HOSPITALIST SERVICES, URBANA, IL 618012500 (Tel: 2173833129)

📍

Updated Business Mailing Address April 23, 2015

Registered at 611 W. PARK ST., BWPC, URBANA, IL 618012500 (Tel: 2173836792)

👤

Provider Name / Credentials Updated April 23, 2015

Recorded as JAMES KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2015

Internal Medicine (License #036118023 in IL)

🟢

Initial NPI Registration & Enumeration May 07, 2007

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: 1649483736

Entity Type:

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

Enumeration Date: May 07, 2007

Last Update: April 23, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

611 W. Park St., Bwpc

Urbana, IL 618012500

Phone: 2173836792

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.