Active NPI 1174539373 Individual Practitioner Female Practitioner

Dr. Radha Kumar , MD

Internal Medicine • Edison, NJ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Radha Kumar, MD is a certified Internal Medicine practicing in Edison, NJ. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Kumar delivers high-quality medical care to the local community at 34-36 PROGRESS ST.

Dr. Kumar is affiliated with Edison Medical Associates Llc 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, insertion of needle into vein for collection of blood sample, assessment of emotional or behavioral problems. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

34-36 Progress St
Suite A-2

Edison, NJ 088201197

Telephone 9082260600

Fax 9082261802

Associated Practice Facility / Clinic

🏢 Edison Neurologic Associates Facility NPI 1295860773

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Edison, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +6.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

80 Specialists

Practicing in Edison, NJ (4957 Statewide)

Telehealth Adoption Rate

27.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

34.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (37 Years) 37 Yrs

Edison Specialty Average (30.3 Years) 30.3 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	180	85	$175.00	$140.26
36415 Insertion of needle into vein for collection of blood sample	176	76	$15.00	$8.65
96127 Assessment of emotional or behavioral problems	172	38	$25.00	$5.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	116	54	$250.00	$196.76
99497 Advance care planning, first 30 minutes	65	64	$200.00	$88.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$175.00	$141.71
G0008 Administration of influenza virus vaccine	55	55	$30.00	$29.40
90662 Influenza vaccine split virus, preservative free	52	52	$97.12	$80.83
99213 Established patient office or other outpatient visit, typically 15 minutes	41	34	$160.00	$99.63
93000 Routine ekg using at least 12 leads including interpretation and report	40	40	$60.00	$15.78
90480 Admn sarscov2 vacc 1 dose	24	24	$50.00	$47.32
91320 Sarscv2 vac 30mcg trs-suc im	23	23	$300.00	$152.78
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	19	13	$100.00	$68.08

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	151	73	$175.00	$140.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	132	63	$250.00	$196.86
36415 Insertion of needle into vein for collection of blood sample	114	68	$15.00	$8.40
96127 Assessment of emotional or behavioral problems	90	29	$25.00	$5.47
90662 Influenza vaccine split virus, preservative free	55	55	$75.00	$71.93
99497 Advance care planning, first 30 minutes	54	53	$200.00	$89.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$175.00	$142.20
G0008 Administration of influenza virus vaccine	50	50	$30.00	$29.40
93000 Routine ekg using at least 12 leads including interpretation and report	45	44	$60.00	$16.16
99213 Established patient office or other outpatient visit, typically 15 minutes	36	27	$160.00	$99.97
G0009 Administration of pneumococcal vaccine	11	11	$30.00	$29.40

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	166	69	$175.00	$144.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	111	50	$250.00	$202.28
36415 Insertion of needle into vein for collection of blood sample	74	37	$15.00	$2.97
96127 Assessment of emotional or behavioral problems	60	15	$25.00	$5.72
93000 Routine ekg using at least 12 leads including interpretation and report	60	56	$60.00	$16.31
99497 Advance care planning, first 30 minutes	52	44	$200.00	$93.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$175.00	$147.19
90662 Influenza vaccine split virus, preservative free	43	43	$75.00	$68.54
G0008 Administration of influenza virus vaccine	40	40	$30.00	$29.41
99213 Established patient office or other outpatient visit, typically 15 minutes	33	27	$160.00	$102.57
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	22	15	$60.00	$42.10
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	19	11	$100.00	$71.03
91305 Sarscov2 vac 30 mcg trs-sucr	19	19	$0.01	$0.01
91312 Coronavirus vaccine 13	18	18	$50.00	$0.01
0124A Fee covid-19 vac 13 res	17	18	$52.63	$44.56
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	17	17	$50.00	$44.83
91313 Coronavirus vaccine 14	16	16	$50.00	$0.01
0134A Fee covid-19 vac 14 res	16	16	$50.00	$44.56
90471 Administration of 1 vaccine	15	12	$45.00	$19.24

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	160	80	$175.00	$147.64
36415 Insertion of needle into vein for collection of blood sample	86	44	$15.00	$3.00
93000 Routine ekg using at least 12 leads including interpretation and report	58	56	$60.00	$17.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	29	$250.00	$205.36
99213 Established patient office or other outpatient visit, typically 15 minutes	52	39	$160.00	$104.21
96127 Assessment of emotional or behavioral problems	50	11	$27.00	$5.84
99497 Advance care planning, first 30 minutes	50	45	$200.00	$95.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$168.75	$151.40
90662 Influenza vaccine split virus, preservative free	42	42	$75.00	$65.26
G0008 Administration of influenza virus vaccine	41	41	$30.00	$19.52
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	30	14	$100.00	$46.36
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	23	11	$59.13	$29.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$125.00	$64.70

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	178	78	$175.00	$121.56
99213 Established patient office or other outpatient visit, typically 15 minutes	120	62	$159.73	$84.66
36415 Insertion of needle into vein for collection of blood sample	96	53	$15.00	$2.99
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	64	20	$100.00	$46.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$150.00	$132.27
99497 Advance care planning, first 30 minutes	51	51	$200.00	$95.53
G0008 Administration of influenza virus vaccine	50	50	$30.00	$19.04
93000 Routine ekg using at least 12 leads including interpretation and report	50	47	$60.00	$19.69
90662 Influenza vaccine split virus, preservative free	50	50	$70.50	$58.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	29	$250.00	$165.24
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	38	17	$148.68	$29.31

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	199	82	$160.60	$120.68
99213 Established patient office or other outpatient visit, typically 15 minutes	98	48	$144.65	$82.66
36415 Insertion of needle into vein for collection of blood sample	87	43	$15.00	$2.94
G0008 Administration of influenza virus vaccine	45	44	$30.00	$18.67
99497 Advance care planning, first 30 minutes	43	39	$200.00	$92.78
93000 Routine ekg using at least 12 leads including interpretation and report	41	39	$60.00	$19.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$150.00	$129.50
90662 Influenza vaccine split virus, preservative free	39	38	$50.00	$49.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	26	17	$150.00	$28.18
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	22	12	$100.00	$45.89

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	156	67	$160.00	$115.47
99213 Established patient office or other outpatient visit, typically 15 minutes	102	57	$144.00	$78.48
36415 Insertion of needle into vein for collection of blood sample	93	46	$15.00	$2.94
G0008 Administration of influenza virus vaccine	63	59	$30.00	$23.23
90662 Influenza vaccine split virus, preservative free	60	59	$50.00	$49.00
93000 Routine ekg using at least 12 leads including interpretation and report	51	48	$60.00	$18.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$150.00	$125.69
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	45	20	$150.00	$27.09
99497 Advance care planning, first 30 minutes	41	37	$200.00	$89.00

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	197	77	$159.76	$118.50
99213 Established patient office or other outpatient visit, typically 15 minutes	169	73	$143.42	$80.86
36415 Insertion of needle into vein for collection of blood sample	123	54	$15.00	$2.94
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	75	27	$150.00	$27.93
93000 Routine ekg using at least 12 leads including interpretation and report	68	63	$60.00	$19.08
G0008 Administration of influenza virus vaccine	64	61	$30.00	$29.01
90662 Influenza vaccine split virus, preservative free	63	61	$50.00	$47.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	52	52	$150.00	$128.27
99497 Advance care planning, first 30 minutes	48	48	$200.00	$88.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$147.00	$119.46
G0009 Administration of pneumococcal vaccine	23	23	$30.00	$29.01
90670 Pneumococcal vaccine for injection into muscle	23	22	$345.65	$184.84

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ MA66863

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License NY 207027

Hospital & Practice Group Affiliations

Edison Medical Associates Llc

34 -36 Progress St, Edison, NJ 088201197

Phone: 9082260600

Practice Associates & Co-Workers

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

2 Associated Practitioners

Alexandra Friedman , APN

Nurse Practitioner - Primary Care

NPI 1003626045

Advanced Practice Nurse

Dr. Katalin Horvath , MD

Internal Medicine

NPI 1609884303

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 November 20, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 20, 2012

Registered at 34-36 PROGRESS ST, SUITE A-2, EDISON, NJ 088201197 (Tel: 9082260600)

📍

Updated Business Mailing Address November 20, 2012

Registered at 34-36 PROGRESS ST, SUITE A-2, EDISON, NJ 088201197 (Tel: 9082260600)

👤

Provider Name / Credentials Updated November 20, 2012

Recorded as RADHA KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2012

Internal Medicine (License #MA66863 in NJ)

🟢

Initial NPI Registration & Enumeration July 31, 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: 1174539373

Entity Type:

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

Enumeration Date: July 31, 2006

Last Update: November 20, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

34-36 Progress St, Suite A-2

Edison, NJ 088201197

Phone: 9082260600

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.