Active NPI 1235288309 Individual Practitioner Male Practitioner

Dr. Rakesh Kumar , MD

Internal Medicine • Natrona Heights, PA

Professional Overview & Biography Verified Profile Summary

Dr. Rakesh Kumar, MD is a certified Internal Medicine practicing in Natrona Heights, PA. With approximately 49 years of clinical experience since completing medical education in 1977, Dr. Kumar delivers high-quality medical care to the local community at 1629 UNION AVE.

Dr. Kumar does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include 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, established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1629 Union Ave
Suite 2

Natrona Heights, PA 150652134

Telephone 7242248850

Fax 2063392691

Associated Practice Facility / Clinic

🏢 Highlands Surgical Association Facility NPI 1508804527

Medicare Profile & Education

Medical School

Other

Graduation Year

1977

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Natrona Heights, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +23.7 yrs vs City Avg

City Avg: 25.3 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

11 Specialists

Practicing in Natrona Heights, PA (7609 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (49 Years) 49 Yrs

Natrona Heights Specialty Average (25.3 Years) 25.3 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
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	177	25	$25.00	$15.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	176	24	$140.00	$121.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	144	18	$40.00	$13.45
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	134	17	$10.00	$1.26
82962 Blood glucose (sugar) test performed by hand-held instrument	70	17	$6.00	$3.21
G0008 Administration of influenza virus vaccine	13	12	$40.00	$30.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$200.00	$122.25
90658 Influenza vaccine, trivalent, 0.5 ml dosage	11	11	$40.00	$21.42

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	27	$140.00	$122.31
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	145	19	$10.00	$1.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	145	19	$40.00	$13.48
82962 Blood glucose (sugar) test performed by hand-held instrument	80	18	$6.00	$3.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$200.00	$123.15
G0008 Administration of influenza virus vaccine	13	13	$37.69	$29.44
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$40.00	$20.46

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	210	32	$140.00	$124.46
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	156	23	$10.00	$1.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	156	23	$40.00	$13.86
82962 Blood glucose (sugar) test performed by hand-held instrument	105	22	$6.00	$3.24
G0008 Administration of influenza virus vaccine	11	11	$30.00	$28.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$200.00	$126.68
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$40.00	$20.07

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	176	31	$140.00	$127.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	174	13	$120.00	$100.99
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	115	18	$10.00	$1.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	115	18	$40.00	$13.78
82962 Blood glucose (sugar) test performed by hand-held instrument	79	20	$6.00	$3.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$200.00	$129.34
G0008 Administration of influenza virus vaccine	12	12	$30.00	$16.40
90756 Vaccine for influenza for injection into muscle	12	12	$40.00	$28.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	514	32	$120.00	$103.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	36	$140.00	$106.70
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	149	23	$10.00	$1.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	149	23	$40.00	$13.89
82962 Blood glucose (sugar) test performed by hand-held instrument	76	22	$6.00	$3.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	19	$90.00	$71.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	30	$220.00	$201.15
99239 Hospital discharge day management, more than 30 minutes	26	23	$120.00	$106.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$200.00	$113.05
G0008 Administration of influenza virus vaccine	16	15	$30.00	$16.26
90756 Vaccine for influenza for injection into muscle	16	15	$33.13	$27.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	442	25	$120.00	$102.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	47	$140.00	$103.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	201	30	$40.00	$16.05
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	199	30	$10.00	$1.80
82962 Blood glucose (sugar) test performed by hand-held instrument	116	33	$6.00	$3.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	18	$90.00	$71.55
99239 Hospital discharge day management, more than 30 minutes	28	21	$120.00	$104.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	23	$220.00	$198.93
93000 Routine ekg using at least 12 leads including interpretation and report	19	16	$40.00	$16.39
G0008 Administration of influenza virus vaccine	17	17	$30.00	$15.95
90756 Vaccine for influenza for injection into muscle	17	17	$30.00	$26.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$200.00	$112.16

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	312	47	$140.00	$98.83
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	216	31	$10.00	$1.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	216	31	$40.00	$18.57
82962 Blood glucose (sugar) test performed by hand-held instrument	137	33	$6.00	$3.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	97	13	$120.00	$96.97
93000 Routine ekg using at least 12 leads including interpretation and report	30	21	$40.00	$15.44
G0008 Administration of influenza virus vaccine	17	17	$30.00	$19.57
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	17	17	$30.00	$23.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$200.00	$106.37

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	334	53	$140.00	$97.27
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	224	30	$40.00	$22.66
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	224	30	$10.00	$2.85
82962 Blood glucose (sugar) test performed by hand-held instrument	165	40	$6.00	$3.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	155	19	$120.00	$95.70
93000 Routine ekg using at least 12 leads including interpretation and report	41	28	$40.00	$15.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$200.00	$103.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	21	$220.00	$186.13
99239 Hospital discharge day management, more than 30 minutes	19	15	$120.00	$98.21
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	17	17	$30.00	$17.34
G0008 Administration of influenza virus vaccine	17	17	$30.00	$24.05
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	15	11	$125.00	$98.14

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD039893L

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

Medicaid State Provider ID

001023046 0003 (PA)

Medicaid State Provider ID

7557245 (PA)

Commercial Insurance / Payer ID Highmark Number

334198 (PA)

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Robert Hower , MD

Specialist

NPI 1215970181

Doctor of Medicine (M.D.)

Dr. Sarun Suwan , MD

Specialist

NPI 1265470736

Doctor of Medicine (M.D.)

Dr. Michelle Zuba , DO

Surgery

NPI 1336134899

Doctor of Osteopathic Medicine (D.O.)

Dr. Roger Johnson , OD

Optometrist

NPI 1649278763

Doctor of Optometry

Dr. Frank Borgia , MD

Specialist

NPI 1992748461

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 October 24, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 24, 2015

Registered at 1629 UNION AVE, SUITE 2, NATRONA HEIGHTS, PA 150652134 (Tel: 7242248850)

📍

Updated Business Mailing Address October 24, 2015

Registered at 1629 UNION AVE, SUITE 2, NATRONA HEIGHTS, PA 150652134 (Tel: 7242248850)

👤

Provider Name / Credentials Updated October 24, 2015

Recorded as RAKESH KUMAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2015

Internal Medicine (License #MD039893L in PA)

🟢

Initial NPI Registration & Enumeration January 09, 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: 1235288309

Entity Type:

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

Enumeration Date: January 09, 2007

Last Update: October 24, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1629 Union Ave, Suite 2

Natrona Heights, PA 150652134

Phone: 7242248850

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.