NPI Details
Prem Kumar, MD is an internal medicine in Butler, PA with 53 years of experience. The provider is 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. Prem Kumar, MD NPI is 1962571299. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
510 NORTH MAIN ST
BUTLER, PA
ZIP 16001
Phone: (724) 282-3534
Fax: (724) 282-8627
The NPI 1962571299 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
- Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
- Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
- Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
- Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
- Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
- Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
- Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
- Hospital discharge day management, 30 minutes or less (HCPCS:99238)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
- Electrocardiogram (ecg) 2-day continuous with review by health care professional (HCPCS:93227)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Hospital observation care on day of discharge (HCPCS:99217)
- Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
The enumeration date for this NPI number is 11/8/2006 and was last updated on 9/11/2025.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | MD031965E | PENNSYLVANIA | Yes |
| 2 | 207RC0000X | Internal Medicine | Cardiovascular Disease | MD031965E | PENNSYLVANIA | No |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 0009769200001 | MEDICAID | PENNSYLVANIA | |
