Shantha Kumar, M.D.
NPI 1396768958 · Cardiovascular Disease Physician · Apache Junction, AZ
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shantha Kumar, M.D. is a Cardiovascular Disease Physician provider in Apache Junction, AZ (NPI 1396768958).
Provider details
- NPI number
- 1396768958
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 23951 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
8,196 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 745 | $122 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 616 | $123 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, Each Additional 20 Minutes99458 | 572 | $38 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, First 20 Minutes99457 | 433 | $47 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 418 | $14 |
| Outpatient Heart Rehabilitation With Electrocardiogram (ecg) Monitoring, Quality Health Care Professional Services |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 43 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 343 | 128 |
| Apixabanbrand: Eliquis | 296 | 97 |
| Metoprolol Tartrate | 294 | 105 |
| Metoprolol Succinate | 271 | 104 |
| Amiodarone Hcl | 254 | 82 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 212 | 79 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$564 across 23 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 7615 E Baseline Rd Ste 101Mesa, AZ 85209-2000Phone: (480) 962-0101
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2024-04-12
- Certified
- 2024-04-12
Frequently asked questions
- What is Shantha Kumar's NPI number?
- Shantha Kumar's National Provider Identifier (NPI) is 1396768958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shantha Kumar's specialty?
- Shantha Kumar is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Shantha Kumar located?
- Shantha Kumar's practice location on file with NPPES is 99 S Gold Dr, Apache Junction, AZ 85120-5035.
- What is Shantha Kumar's phone number?
- The practice phone number listed in the NPPES registry for Shantha Kumar is (480) 962-0101.
- Does Shantha Kumar accept Medicare?
- Shantha Kumar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shantha Kumar's NPI active?
- Yes — Shantha Kumar's NPI (1396768958) is active in the NPPES registry as of the last update on 2024-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.