Active NPI 1730461237 Individual Practitioner Male Practitioner

Dr. Ajay Kumar , MD

Internal Medicine • Conneaut, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ajay Kumar, MD is a certified Internal Medicine practicing in Conneaut, OH. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Kumar delivers high-quality medical care to the local community at 167 W MAIN RD STE F.

Dr. Kumar is affiliated with University Primary Care Practices Inc 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of pneumococcal vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

167 W Main Rd Ste F

Conneaut, OH 440302057

Telephone 4405997466

Fax 4405936498

Associated Practice Facility / Clinic

🏢 University Primary Care Practices Inc Facility NPI 1679602882

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Conneaut, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -4.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Conneaut, OH (5516 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

45.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (17 Years) 17 Yrs

Conneaut Specialty Average (21.5 Years) 21.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	219	147	$133.00	$86.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	112	112	$235.00	$124.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	85	$187.00	$122.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	46	$85.00	$53.45
G0009 Administration of pneumococcal vaccine	22	22	$44.00	$30.52
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	22	$665.00	$289.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$270.00	$159.86
G0008 Administration of influenza virus vaccine	17	17	$44.00	$30.47
81003 Automated urinalysis test	16	15	$17.00	$2.20
90662 Influenza vaccine split virus, preservative free	14	14	$67.00	$65.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$323.00	$165.13
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	12	11	$38.00	$15.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	186	118	$125.68	$72.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	117	117	$203.00	$53.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	83	$175.00	$93.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	68	$80.00	$53.38
81003 Automated urinalysis test	22	17	$17.00	$2.20
G0009 Administration of pneumococcal vaccine	21	21	$44.00	$29.36
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	21	21	$665.00	$282.43
G0008 Administration of influenza virus vaccine	16	16	$44.00	$29.36
90662 Influenza vaccine split virus, preservative free	16	16	$67.00	$65.66
99497 Advance care planning, first 30 minutes	13	12	$165.00	$30.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$270.00	$161.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	180	134	$125.83	$85.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	129	$164.95	$118.03
99497 Advance care planning, first 30 minutes	146	141	$165.00	$78.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	122	122	$203.00	$120.73
G0008 Administration of influenza virus vaccine	40	40	$44.00	$28.04
G0009 Administration of pneumococcal vaccine	38	36	$44.00	$28.26
90662 Influenza vaccine split virus, preservative free	37	37	$67.00	$65.61
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	31	31	$293.00	$132.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$77.31	$54.79
99441 Telephone medical discussion with physician, 5-10 minutes	23	22	$65.00	$54.45
83036 Hemoglobin A1C level	20	16	$40.00	$9.55
81003 Automated urinalysis test	20	14	$17.00	$2.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$255.00	$164.37
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$100.00	$88.54
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$240.00	$165.71

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	252	158	$157.00	$126.88
99213 Established patient office or other outpatient visit, typically 15 minutes	157	117	$106.00	$89.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	95	95	$203.00	$130.50
G0008 Administration of influenza virus vaccine	55	55	$44.00	$16.19
99441 Telephone medical discussion with physician, 5-10 minutes	53	43	$65.00	$54.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	35	$67.00	$54.04
90662 Influenza vaccine split virus, preservative free	34	34	$67.00	$65.26
99442 Telephone medical discussion with physician, 11-20 minutes	31	29	$100.00	$87.97
G0009 Administration of pneumococcal vaccine	23	23	$44.00	$16.16
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	22	$37.00	$20.44
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$229.55	$124.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$242.00	$166.37

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	329	198	$151.88	$105.61
99213 Established patient office or other outpatient visit, typically 15 minutes	143	103	$102.87	$72.77
G0008 Administration of influenza virus vaccine	59	59	$44.00	$15.80
99442 Telephone medical discussion with physician, 11-20 minutes	58	55	$47.24	$44.42
G0009 Administration of pneumococcal vaccine	43	43	$44.00	$16.06
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	42	42	$152.00	$119.73
99441 Telephone medical discussion with physician, 5-10 minutes	38	35	$34.47	$29.74
90662 Influenza vaccine split virus, preservative free	32	32	$67.00	$60.98
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	27	27	$37.00	$18.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$235.00	$162.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$65.00	$42.13
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$256.00	$168.95

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	540	321	$150.00	$104.39
99213 Established patient office or other outpatient visit, typically 15 minutes	258	175	$100.00	$70.60
85610 Blood test, clotting time	109	14	$20.00	$4.28
G0008 Administration of influenza virus vaccine	55	55	$44.00	$15.75
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	46	46	$37.00	$18.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	31	$200.00	$136.15
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	32	19	$75.00	$40.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	31	$210.00	$135.42
99219 Hospital observation care, typically 50 minutes	31	29	$195.00	$134.48
99239 Hospital discharge day management, more than 30 minutes	23	23	$165.00	$105.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	18	$115.00	$71.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	14	$160.00	$102.79
99217 Hospital observation care on day of discharge	19	18	$125.00	$71.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$65.00	$43.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$235.00	$160.36
81002 Urinalysis, manual test	13	12	$17.00	$3.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$305.00	$200.06
99238 Hospital discharge day management, 30 minutes or less	12	12	$125.00	$71.86
90662 Influenza vaccine split virus, preservative free	11	11	$67.00	$54.89

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	301	141	$149.80	$100.79
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	296	38	$75.00	$40.63
99213 Established patient office or other outpatient visit, typically 15 minutes	135	89	$99.70	$69.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	92	56	$160.00	$102.29
99239 Hospital discharge day management, more than 30 minutes	75	67	$165.00	$105.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	41	$200.00	$133.38
99219 Hospital observation care, typically 50 minutes	53	51	$180.28	$133.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	40	$115.00	$70.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	47	$305.00	$198.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	47	$210.00	$131.27
99217 Hospital observation care on day of discharge	46	43	$125.00	$71.33
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	28	28	$37.00	$17.98
G0008 Administration of influenza virus vaccine	27	27	$44.00	$19.30
99238 Hospital discharge day management, 30 minutes or less	25	25	$125.00	$68.57
G0444 Annual depression screening, 5 to 15 minutes	25	25	$35.00	$17.06
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	24	15	$128.75	$89.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$235.00	$160.11
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	16	16	$40.00	$27.14
99306 Initial nursing facility visit, typically 45 minutes per day	13	13	$228.00	$162.92
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$183.33	$127.24
99235 Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes	11	11	$285.00	$166.08

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	259	118	$140.00	$101.00
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	171	41	$75.00	$40.46
99213 Established patient office or other outpatient visit, typically 15 minutes	164	108	$95.00	$67.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	136	81	$160.00	$101.32
99239 Hospital discharge day management, more than 30 minutes	122	111	$165.00	$103.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	89	62	$115.00	$69.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	78	73	$210.00	$132.44
99291 Critical care, first 30-74 minutes	69	52	$405.00	$216.95
99217 Hospital observation care on day of discharge	56	52	$125.00	$68.28
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	47	43	$155.00	$60.40
99219 Hospital observation care, typically 50 minutes	47	45	$180.00	$131.60
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	41	39	$36.76	$18.65
G0008 Administration of influenza virus vaccine	41	39	$43.61	$23.76
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	37	20	$120.00	$88.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$235.00	$158.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	26	$190.00	$138.93
G0444 Annual depression screening, 5 to 15 minutes	34	34	$35.00	$17.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$305.00	$197.85
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	22	22	$165.00	$126.53
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	21	21	$350.00	$212.84
99315 Nursing facility discharge day management, 30 minutes or less	20	20	$105.00	$71.08
99238 Hospital discharge day management, 30 minutes or less	19	19	$125.00	$70.52
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	16	13	$94.00	$66.80
99316 Nursing facility discharge management, more than 30 minutes	15	13	$135.00	$102.81
99306 Initial nursing facility visit, typically 45 minutes per day	12	12	$228.00	$162.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$280.00	$183.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$155.00	$88.59

Medical Specialties & State Licenses

CMS Verified: 2020-11-12

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.125180

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

University Primary Care Practices Inc

8055 Mayfield Rd, Chesterland, OH 440262447

University Primary Care Practices Inc

11100 Euclid Ave, Cleveland, OH 441061716

University Primary Care Practices Inc

8055 Mayfield Rd, Chesterland, OH 440262447

Phone: 2163830100

University Primary Care Practices Inc

158 W Main Rd, Conneaut, OH 440302039

Secondary Practice Locations

1501 Kings Hwy

Shreveport, LA 711034228

Phone: 3188132528

Practice Associates & Co-Workers

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

5 Associated Practitioners

Monique Dominick , APRN FNP

Nurse Practitioner - Family

NPI 1093578247

APRNFNP

Dr. Samantha Kiefer , DO

Family Medicine

NPI 1295114387

Doctor of Osteopathic Medicine (D.O.)

Dr. Douglas Angerman , MD

Internal Medicine

NPI 1356351803

Doctor of Medicine (M.D.)

Dr. Manjot Kang , MD

Family Medicine

NPI 1427057207

Doctor of Medicine (M.D.)

Dr. Abirammy Sundaramoorthy , MD

Internal Medicine

NPI 1922310580

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location March 17, 2018

Registered at 167 W MAIN RD STE F, CONNEAUT, OH 440302057 (Tel: 4405997466)

📍

Updated Business Mailing Address March 17, 2018

Registered at 167 W MAIN RD STE F, CONNEAUT, OH 440302057 (Tel: 4405997466)

👤

Provider Name / Credentials Updated March 17, 2018

Recorded as AJAY KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Internal Medicine (License #35.125180 in OH)

📍

Updated Practice Location March 03, 2018

Registered at 167 W MAIN RD STE F, CONNEAUT, OH 440302057 (Tel: 4405997466)

📍

Updated Business Mailing Address March 03, 2018

Registered at 167 W MAIN RD STE F, CONNEAUT, OH 440302057 (Tel: 4405997466)

👤

Provider Name / Credentials Updated March 03, 2018

Recorded as AJAY KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2018

Internal Medicine (License #35.125180 in OH)

✅

NPI Profile Active September 12, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2011

Registered at 1501 KINGS HWY, SHREVEPORT, LA 711034228 (Tel: 3188132528)

📍

Updated Business Mailing Address September 12, 2011

Registered at 1501 KINGS HWY, SHREVEPORT, LA 711034228 (Tel: 3188132528)

👤

Provider Name / Credentials Updated September 12, 2011

Recorded as AJAY KUMAR, MBBS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2011

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration September 12, 2011

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: 1730461237

Entity Type:

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

Enumeration Date: September 12, 2011

Last Update: November 12, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

167 W Main Rd Ste F

Conneaut, OH 440302057

Phone: 4405997466

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.