Active NPI 1558341909 Individual Practitioner Male Practitioner

Dr. Biresh Kumar , MD

Internal Medicine - Nephrology • Waco, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Biresh Kumar, MD is a certified Internal Medicine - Nephrology practicing in Waco, TX. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Kumar delivers high-quality medical care to the local community at 5940 CROSSLAKE PKWY.

Dr. Kumar is affiliated with Central Texas Nephrology Associates, P.A. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5940 Crosslake Pkwy

Waco, TX 767126986

Telephone 2546662999

Fax 2546666000

Associated Practice Facility / Clinic

🏢 Central Texas Nephrology Associates, P.a. Facility NPI 1174578918

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Waco, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +7.9 yrs vs City Avg

City Avg: 25.1 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

13 Specialists

Practicing in Waco, TX (1192 Statewide)

Telehealth Adoption Rate

30.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

42.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (33 Years) 33 Yrs

Waco Specialty Average (25.1 Years) 25.1 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	372	289	$25.00	$15.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	218	$180.00	$93.18
99213 Established patient office or other outpatient visit, typically 15 minutes	174	140	$125.00	$75.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	166	72	$125.00	$74.91
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	149	68	$573.83	$334.98
90970 Dialysis services, per day, less than full month service (20 years or older)	126	13	$22.30	$8.95
90935 Hemodialysis procedure with physician evaluation	95	40	$250.00	$67.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	93	46	$175.00	$112.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	50	$300.00	$165.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	42	$225.00	$124.40
90966 Home dialysis services per month, patient 20 years of age or older	40	16	$440.00	$278.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$230.00	$156.83
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	28	23	$464.29	$279.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$250.00	$136.58
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	$300.00	$191.57

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	304	225	$180.00	$103.70
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	296	91	$500.00	$337.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	201	89	$125.00	$76.01
99213 Established patient office or other outpatient visit, typically 15 minutes	141	113	$125.00	$80.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	107	56	$175.00	$114.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	73	66	$300.00	$166.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	44	$225.00	$124.93
90966 Home dialysis services per month, patient 20 years of age or older	44	17	$400.00	$281.19
90935 Hemodialysis procedure with physician evaluation	40	33	$250.00	$68.73
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	36	30	$400.00	$281.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$230.00	$158.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	20	$250.00	$131.84
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$300.00	$210.63
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$125.00	$69.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	336	104	$500.00	$346.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	277	192	$180.00	$105.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	194	81	$125.00	$68.23
99213 Established patient office or other outpatient visit, typically 15 minutes	128	110	$125.00	$80.18
90935 Hemodialysis procedure with physician evaluation	116	47	$250.00	$70.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	78	45	$175.00	$93.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	69	$300.00	$188.07
99442 Telephone medical discussion with physician, 11-20 minutes	64	49	$125.00	$65.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	33	$225.00	$129.13
90966 Home dialysis services per month, patient 20 years of age or older	35	13	$400.00	$272.22
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	33	29	$400.00	$287.40
99441 Telephone medical discussion with physician, 5-10 minutes	28	24	$85.00	$53.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$230.00	$161.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$300.00	$213.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	306	19	$20.00	$9.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	184	$174.22	$127.17
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	246	111	$500.00	$354.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	177	84	$125.00	$69.88
99213 Established patient office or other outpatient visit, typically 15 minutes	126	106	$117.46	$89.88
90935 Hemodialysis procedure with physician evaluation	118	50	$250.00	$71.92
99442 Telephone medical discussion with physician, 11-20 minutes	82	49	$120.12	$79.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	79	46	$175.00	$101.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	50	$300.00	$195.83
99441 Telephone medical discussion with physician, 5-10 minutes	46	39	$79.78	$54.38
90966 Home dialysis services per month, patient 20 years of age or older	43	17	$400.00	$286.94
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	42	38	$400.00	$294.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	35	$225.00	$132.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$220.45	$164.89
99441 Telephone medical discussion with physician, 5-10 minutes	22	11	$76.36	$35.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$284.21	$218.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	561	179	$500.00	$284.43
90970 Dialysis services, per day, less than full month service (20 years or older)	290	27	$20.00	$8.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	248	112	$125.00	$72.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	224	172	$150.00	$106.52
99213 Established patient office or other outpatient visit, typically 15 minutes	179	149	$100.00	$73.26
90935 Hemodialysis procedure with physician evaluation	172	90	$250.00	$73.72
36415 Insertion of needle into vein for collection of blood sample	149	139	$9.00	$2.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	113	53	$175.00	$104.10
99441 Telephone medical discussion with physician, 5-10 minutes	86	77	$75.00	$44.75
90966 Home dialysis services per month, patient 20 years of age or older	84	25	$372.02	$239.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	66	$282.67	$201.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	56	$225.00	$137.14
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	42	39	$400.00	$239.38
90945 Dialysis procedure including 1 evaluation	29	11	$250.00	$86.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	14	$150.00	$78.76
99291 Critical care, first 30-74 minutes	21	21	$350.00	$221.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$100.00	$39.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$225.00	$205.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$200.00	$161.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	463	180	$500.00	$276.86
36415 Insertion of needle into vein for collection of blood sample	380	270	$9.00	$2.93
90970 Dialysis services, per day, less than full month service (20 years or older)	377	33	$20.00	$7.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	307	226	$150.00	$103.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	268	141	$125.00	$70.72
99213 Established patient office or other outpatient visit, typically 15 minutes	241	195	$100.00	$71.63
90935 Hemodialysis procedure with physician evaluation	183	89	$250.00	$71.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	120	60	$175.00	$101.48
90966 Home dialysis services per month, patient 20 years of age or older	108	33	$350.00	$232.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	88	76	$275.00	$195.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	76	66	$225.00	$133.57
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	45	40	$400.00	$233.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$200.00	$159.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	25	$200.00	$140.79
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$225.00	$200.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	13	$150.00	$76.89
99291 Critical care, first 30-74 minutes	15	13	$350.00	$217.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	12	$100.00	$38.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	704	59	$20.00	$7.57
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	623	193	$467.13	$274.72
36415 Insertion of needle into vein for collection of blood sample	361	247	$9.00	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	267	214	$150.00	$103.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	217	114	$125.00	$71.00
99213 Established patient office or other outpatient visit, typically 15 minutes	194	166	$100.00	$70.15
90935 Hemodialysis procedure with physician evaluation	193	99	$250.00	$71.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	86	47	$175.00	$101.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	71	$275.00	$197.90
90966 Home dialysis services per month, patient 20 years of age or older	68	25	$350.00	$227.62
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	64	54	$379.69	$232.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	59	$224.21	$133.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	30	$200.00	$140.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$200.00	$158.94
99291 Critical care, first 30-74 minutes	25	23	$343.00	$215.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$100.00	$38.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	609	189	$425.00	$273.76
90970 Dialysis services, per day, less than full month service (20 years or older)	352	36	$20.00	$7.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	296	226	$150.00	$101.97
36415 Insertion of needle into vein for collection of blood sample	281	199	$9.00	$2.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	248	128	$125.00	$69.56
99213 Established patient office or other outpatient visit, typically 15 minutes	188	163	$100.00	$69.14
90935 Hemodialysis procedure with physician evaluation	178	93	$250.00	$70.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	98	58	$175.00	$101.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	95	84	$224.47	$131.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	81	71	$275.00	$196.57
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	77	68	$350.00	$227.16
90966 Home dialysis services per month, patient 20 years of age or older	68	19	$350.00	$229.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$200.00	$155.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	17	$200.00	$138.63
90962 Dialysis services, 1 physician visit per month (20 years or older)	15	15	$275.00	$177.08
99291 Critical care, first 30-74 minutes	14	14	$350.00	$216.97

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License TX N5169

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License MI 4301065642

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

4785962 (MI)

Hospital & Practice Group Affiliations

Central Texas Nephrology Associates, P.a.

1507 Hillview Dr, Hillsboro, TX 766452746

Phone: 2545825442

Practice Associates & Co-Workers

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

5 Associated Practitioners

Kayla Salinas , ARPN-CNP

Nurse Practitioner

NPI 1114646445

ARPNCNP

Dr. Manuel Fernandez Palmer , MD

Internal Medicine - Nephrology

NPI 1407136310

Doctor of Medicine (M.D.)

Dr. Ninad Parekh , MD

Internal Medicine - Nephrology

NPI 1417113846

Doctor of Medicine (M.D.)

Dr. Aadil Kaisani , DO

Internal Medicine - Nephrology

NPI 1487116737

Doctor of Osteopathic Medicine (D.O.)

Dr. Pedro Martinez Pitre , MD

Internal Medicine - Nephrology

NPI 1932587458

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

✅

NPI Profile Active July 22, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 22, 2014

Registered at 5940 CROSSLAKE PKWY, WACO, TX 767126986 (Tel: 2546662999)

📍

Updated Business Mailing Address July 22, 2014

Registered at 5940 CROSSLAKE PKWY, WACO, TX 767126986 (Tel: 2546662999)

👤

Provider Name / Credentials Updated July 22, 2014

Recorded as BIRESH KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2014

Internal Medicine (License #N5169 in TX)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2014

Hospitalist (License #4301065642 in MI)

🟢

Initial NPI Registration & Enumeration January 20, 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: 1558341909

Entity Type:

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

Enumeration Date: January 20, 2006

Last Update: July 22, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5940 Crosslake Pkwy

Waco, TX 767126986

Phone: 2546662999

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.