Active NPI 1649427428 Individual Practitioner Male Practitioner

Dr. Rakesh Kumar , MD

Internal Medicine - Nephrology • Edgewood, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rakesh Kumar, MD is a certified Internal Medicine - Nephrology practicing in Edgewood, KY. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Kumar delivers high-quality medical care to the local community at 830 THOMAS MORE PKWY STE 202.

Dr. Kumar is affiliated with Kidney And Hypertension Center Inc and 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, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

830 Thomas More Pkwy Ste 202

Edgewood, KY 410175103

Telephone 5134875305

Fax 5134875317

Associated Practice Facility / Clinic

🏢 Dialysis Access Center Of Cincinnati, Inc. Facility NPI 1427577840

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Edgewood, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -2.7 yrs vs City Avg

City Avg: 26.7 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

7 Specialists

Practicing in Edgewood, KY (180 Statewide)

Telehealth Adoption Rate

71.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (24 Years) 24 Yrs

Edgewood Specialty Average (26.7 Years) 26.7 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	760	247	$140.00	$70.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	397	211	$260.00	$103.13
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	317	201	$39.00	$14.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	110	54	$200.00	$106.54
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	89	25	$578.00	$305.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	84	82	$325.00	$157.52
90935 Hemodialysis procedure with physician evaluation	73	38	$191.00	$64.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	58	$225.00	$115.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$340.00	$151.46
90945 Dialysis procedure including 1 evaluation	26	15	$191.00	$76.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	18	$300.00	$141.73
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	22	13	$462.00	$264.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	13	$80.00	$44.73
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$175.00	$75.07

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	685	234	$140.00	$73.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	337	196	$260.00	$109.06
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	151	40	$578.00	$331.93
90935 Hemodialysis procedure with physician evaluation	119	57	$191.00	$64.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	112	68	$200.00	$104.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	85	82	$325.00	$164.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	42	$225.00	$114.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$340.00	$155.17
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	31	19	$462.00	$275.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	18	$300.00	$153.11
99291 Critical care, first 30-74 minutes	21	19	$425.00	$202.86
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$80.00	$43.66

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	765	229	$140.00	$67.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	305	188	$260.00	$119.24
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	162	33	$578.00	$340.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	149	69	$200.00	$96.89
90935 Hemodialysis procedure with physician evaluation	111	46	$191.00	$69.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	96	93	$325.00	$187.61
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	51	28	$462.00	$282.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	43	$225.00	$127.50
99291 Critical care, first 30-74 minutes	31	24	$425.00	$208.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	22	$300.00	$165.01
90945 Dialysis procedure including 1 evaluation	24	16	$191.00	$81.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$340.00	$157.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	16	$80.00	$36.65

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	827	265	$135.26	$68.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	325	194	$246.79	$120.21
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	209	41	$578.00	$343.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	167	76	$193.65	$98.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	106	100	$321.91	$190.39
90935 Hemodialysis procedure with physician evaluation	99	43	$191.00	$69.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	31	$78.24	$36.75
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	40	22	$462.00	$285.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	30	$290.27	$165.08
99291 Critical care, first 30-74 minutes	36	27	$418.83	$212.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$222.24	$129.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$320.00	$159.22
90945 Dialysis procedure including 1 evaluation	19	12	$191.00	$82.49

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	893	279	$105.00	$69.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	278	177	$147.00	$99.97
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	231	60	$578.00	$274.64
90935 Hemodialysis procedure with physician evaluation	171	61	$191.00	$71.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	154	81	$147.00	$101.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99	97	$284.00	$196.50
99291 Critical care, first 30-74 minutes	56	36	$388.00	$217.16
90945 Dialysis procedure including 1 evaluation	48	17	$191.00	$83.72
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	44	28	$462.00	$231.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	29	$205.00	$133.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$210.00	$151.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	18	$74.00	$37.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	18	$210.00	$138.96
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$273.00	$198.22
81000 Manual urinalysis test with examination using microscope, non-automated	16	16	$21.00	$3.55
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$60.00	$59.71
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$131.00	$98.93

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	999	292	$105.00	$70.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	355	178	$147.00	$100.95
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	202	43	$578.00	$275.20
90935 Hemodialysis procedure with physician evaluation	178	75	$191.00	$71.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	117	108	$284.00	$196.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	92	64	$147.00	$100.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	75	44	$74.00	$37.89
99291 Critical care, first 30-74 minutes	65	54	$388.00	$217.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	48	$206.52	$132.87
90945 Dialysis procedure including 1 evaluation	51	19	$191.00	$83.00
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	43	28	$462.00	$231.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$210.00	$156.36
81000 Manual urinalysis test with examination using microscope, non-automated	28	28	$21.00	$3.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$273.00	$196.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$210.00	$122.67
99221 Initial hospital inpatient care per day, typically 30 minutes	16	15	$131.00	$98.20
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$100.00	$68.44

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	1,153	405	$124.11	$69.59
99213 Established patient office or other outpatient visit, typically 15 minutes	337	286	$130.23	$68.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	192	$183.09	$100.25
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	160	51	$567.31	$270.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	151	141	$354.09	$193.52
90935 Hemodialysis procedure with physician evaluation	130	84	$176.00	$70.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	65	$239.29	$130.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	58	48	$74.93	$37.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$275.68	$152.29
90945 Dialysis procedure including 1 evaluation	50	25	$176.12	$79.00
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	49	39	$452.51	$228.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	39	$161.30	$100.23
99291 Critical care, first 30-74 minutes	34	27	$389.29	$216.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$83.00	$40.99
99238 Hospital discharge day management, 30 minutes or less	15	14	$141.00	$69.34
81000 Manual urinalysis test with examination using microscope, non-automated	12	12	$21.00	$3.61
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$176.00	$96.28

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	1,503	477	$106.87	$68.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	619	337	$164.40	$100.81
99213 Established patient office or other outpatient visit, typically 15 minutes	521	350	$105.79	$68.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	212	201	$298.26	$191.51
90935 Hemodialysis procedure with physician evaluation	147	86	$119.52	$69.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	100	97	$204.05	$130.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$248.94	$152.94
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	89	17	$438.75	$270.08
99238 Hospital discharge day management, 30 minutes or less	59	54	$111.02	$69.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	55	46	$164.71	$99.40
90945 Dialysis procedure including 1 evaluation	44	24	$135.02	$81.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	31	$63.00	$37.31
99221 Initial hospital inpatient care per day, typically 30 minutes	26	25	$167.31	$95.84
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	24	15	$332.08	$226.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$209.50	$136.48
99239 Hospital discharge day management, more than 30 minutes	15	15	$185.40	$102.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$78.36	$40.72
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	$247.73	$194.85

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License KY TP427

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

State License IN 01073372A

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ky Medicare - Part B

K224490 (KY)

Hospital & Practice Group Affiliations

Kidney And Hypertension Center Inc

3219 Clifton Ave, Cincinnati, OH 452203046

Phone: 5138610800

Kidney And Hypertension Center Inc

830 Thomas More Pkwy, Edgewood, KY 410175103

Phone: 8593416281

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Saud Butt , MD

Internal Medicine - Nephrology

NPI 1063600328

Doctor of Medicine (M.D.)

Dr. Dharika Shah , DO

Internal Medicine - Nephrology

NPI 1124488580

Doctor of Osteopathic Medicine (D.O.)

Dr. Emily Kenner , MD

Internal Medicine - Nephrology

NPI 1225201858

Doctor of Medicine (M.D.)

Dr. Elisha Lancaster , MD

Internal Medicine - Nephrology

NPI 1316136567

Doctor of Medicine (M.D.)

Angela Boehme , CNP

Nurse Practitioner - Acute Care

NPI 1588225072

Certified Nurse Practitioner

Mindi Gardner , CNP

Nurse Practitioner - Adult Health

NPI 1700861234

Certified Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location April 24, 2018

Registered at 830 THOMAS MORE PKWY STE 202, EDGEWOOD, KY 410175103 (Tel: 5134875305)

📍

Updated Business Mailing Address April 24, 2018

Registered at 4600 MONTGOMERY RD STE 105, CINCINNATI, OH 452122600 (Tel: 5134875305)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2018

Internal Medicine (License #TP427 in KY)

✅

NPI Profile Active April 29, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 29, 2015

Registered at 1625 N 4TH ST, TERRE HAUTE, IN 478044067 (Tel: 8122328716)

📍

Updated Business Mailing Address April 29, 2015

Registered at 1625 N 4TH ST, TERRE HAUTE, IN 478044067 (Tel: 8122328716)

👤

Provider Name / Credentials Updated April 29, 2015

Recorded as RAKESH KUMAR, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2015

Internal Medicine (License #01073372A in IN)

🟢

Initial NPI Registration & Enumeration August 22, 2008

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: 1649427428

Entity Type:

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

Enumeration Date: August 22, 2008

Last Update: April 24, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4600 Montgomery Rd Ste 105

Cincinnati, OH 452122600

Phone: 5134875305

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.