Active NPI 1780761536 Individual Practitioner Male Practitioner

Dr. Pradeep Kumar , MD

Internal Medicine • Bellingham, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pradeep Kumar, MD is a certified Internal Medicine practicing in Bellingham, MA. With approximately 54 years of clinical experience since completing medical education in 1972, Dr. Kumar delivers high-quality medical care to the local community at 1003 S MAIN ST.

Dr. Kumar maintains professional affiliations with Milford Regional Physician Group, Inc., Umass Memorial Medical Group Inc and accepts Medicare assignment.

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, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1003 S Main St

Bellingham, MA 020191826

Telephone 5088830600

Fax 5088835990

Associated Practice Facility / Clinic

🏢 Milford Regional Physician Group, Inc. Facility NPI 1902856024

Medicare Profile & Education

Medical School

Other

Graduation Year

1972

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bellingham, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

54 Yrs +22.7 yrs vs City Avg

City Avg: 31.3 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

8 Specialists

Practicing in Bellingham, MA (7127 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (54 Years) 54 Yrs

Bellingham Specialty Average (31.3 Years) 31.3 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	177	105	$400.00	$139.68
99213 Established patient office or other outpatient visit, typically 15 minutes	175	122	$283.00	$99.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	147	147	$386.00	$141.41
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	33	22	$172.00	$59.05
G0008 Administration of influenza virus vaccine	33	32	$85.00	$35.30
90662 Influenza vaccine split virus, preservative free	29	28	$182.55	$81.48
99495 Transitional care management services for problem of at least moderate complexity	23	19	$647.00	$226.44
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	19	19	$753.00	$291.60
G0009 Administration of pneumococcal vaccine	19	19	$85.00	$35.30
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$75.00	$15.86
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	11	11	$150.00	$68.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	168	114	$268.75	$99.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	101	$394.95	$139.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	138	138	$378.28	$141.83
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	42	34	$168.52	$57.71
G0008 Administration of influenza virus vaccine	39	39	$85.00	$31.53
90662 Influenza vaccine split virus, preservative free	37	37	$169.49	$71.84
99495 Transitional care management services for problem of at least moderate complexity	31	25	$647.00	$226.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	180	115	$262.08	$101.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$315.00	$145.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	100	$379.14	$143.23
G0008 Administration of influenza virus vaccine	42	41	$85.00	$30.84
90662 Influenza vaccine split virus, preservative free	41	40	$136.63	$68.30
G0009 Administration of pneumococcal vaccine	37	37	$85.00	$30.96
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	34	34	$367.00	$278.55
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	31	22	$155.00	$59.61
99495 Transitional care management services for problem of at least moderate complexity	17	16	$614.00	$231.50
99496 Transitional care management services for problem of high complexity	13	11	$830.00	$312.38
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	12	12	$150.00	$30.37

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	314	169	$355.00	$145.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	133	133	$315.00	$148.81
99213 Established patient office or other outpatient visit, typically 15 minutes	95	67	$240.00	$102.33
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	44	37	$155.00	$59.47
G0008 Administration of influenza virus vaccine	32	31	$85.00	$17.94
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	30	15	$123.20	$46.26
90662 Influenza vaccine split virus, preservative free	28	27	$120.00	$64.95
99443 Telephone medical discussion with physician, 21-30 minutes	22	17	$410.00	$146.04
99496 Transitional care management services for problem of high complexity	13	12	$805.38	$315.49

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	325	171	$355.00	$122.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	115	115	$315.00	$130.09
99213 Established patient office or other outpatient visit, typically 15 minutes	53	46	$240.00	$84.56
G0008 Administration of influenza virus vaccine	41	40	$80.85	$16.91
99443 Telephone medical discussion with physician, 21-30 minutes	40	34	$402.13	$121.59
90662 Influenza vaccine split virus, preservative free	31	31	$110.81	$56.46
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	22	19	$155.00	$56.12
99442 Telephone medical discussion with physician, 11-20 minutes	20	18	$240.00	$84.61
99496 Transitional care management services for problem of high complexity	15	14	$670.00	$275.39

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	303	170	$355.00	$117.14
99213 Established patient office or other outpatient visit, typically 15 minutes	157	119	$240.00	$79.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	104	104	$315.00	$125.76
G0008 Administration of influenza virus vaccine	52	51	$85.00	$18.63
90662 Influenza vaccine split virus, preservative free	45	44	$105.00	$54.83

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	360	196	$345.75	$109.35
99213 Established patient office or other outpatient visit, typically 15 minutes	170	120	$235.00	$74.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	97	97	$305.21	$118.42
G0008 Administration of influenza virus vaccine	78	78	$85.00	$21.55
90662 Influenza vaccine split virus, preservative free	73	73	$100.00	$52.24
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$440.88	$173.88

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	270	192	$341.76	$107.60
99213 Established patient office or other outpatient visit, typically 15 minutes	211	130	$234.05	$73.23
G0008 Administration of influenza virus vaccine	74	74	$75.00	$26.66
90662 Influenza vaccine split virus, preservative free	67	67	$90.00	$48.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$295.00	$116.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$470.00	$163.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$453.57	$144.82

Medical Specialties & State Licenses

CMS Verified: 2025-09-03

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 268807

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 Highmark

106317 (PA)

Commercial Insurance / Payer ID United Health Care

110228412 (PA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

1003 S Main St, Bellingham, MA 020191826

Phone: 5088830600

Milford Regional Physician Group, Inc.

100 Medway Rd, Milford, MA 017572923

Phone: 5084736288

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Bradley Harris , MD

Internal Medicine

NPI 1326061870

Doctor of Medicine (M.D.)

Dr. Michael Pescatello , MD

Internal Medicine

NPI 1336165844

Doctor of Medicine (M.D.)

Rhonda Marcos , NP

Nurse Practitioner

NPI 1376893016

Nurse Practitioner

Dr. Ranjan Chowdhry , MD

Internal Medicine

NPI 1386794675

Doctor of Medicine (M.D.)

Dr. Irina Pieleanu , MD

Internal Medicine

NPI 1528228459

Doctor of Medicine (M.D.)

Dr. Mengtao Zhang , MD

Internal Medicine

NPI 1558328641

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address September 03, 2025

Registered at 9 INDUSTRIAL RD STE 5, MILFORD, MA 017573736 (Tel: 5084731480)

📍

Updated Practice Location May 05, 2021

Registered at 1003 S MAIN ST, BELLINGHAM, MA 020191826 (Tel: 5088830600)

✅

NPI Profile Active December 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 16, 2016

Registered at 100 MEDWAY RD, SUITE 101, MILFORD, MA 017572923 (Tel: 5084736288)

📍

Updated Business Mailing Address December 16, 2016

Registered at 9 INDUSTRIAL RD, SUITE 5, MILFORD, MA 017573735 (Tel: 5084731480)

👤

Provider Name / Credentials Updated December 16, 2016

Recorded as PRADEEP KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2016

Internal Medicine (License #268807 in MA)

🟢

Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1780761536

Entity Type:

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

Enumeration Date: November 01, 2006

Last Update: September 03, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9 Industrial Rd Ste 5

Milford, MA 017573736

Phone: 5084731480

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.