Prashant Kumar, M.D.
NPI 1427087071 · Specialist · Lufkin, TX
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prashant Kumar, M.D. is a Specialist provider in Lufkin, TX (NPI 1427087071).
Provider details
- NPI number
- 1427087071
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- M2885 (TX)
Specialties & taxonomies
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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,737 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 632 | $123 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 300 | $76 |
| Dialysis Services, 4 Or More Physician Visits Per Month (20 Years Or Older)90960 | 199 | $339 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 185 | $114 |
| Dialysis Services, 2-3 Physician Visits Per Month (20 Years Or Older)90961 | 84 | $281 |
| Home Dialysis Services Per Month (20 Years Or Older)90966 | 83 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 45 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Losartan Potassium | 147 | 42 |
| Furosemide | 141 | 48 |
| Calcitriol | 136 | 41 |
| Allopurinol | 100 | 38 |
| Sevelamer Carbonate | 84 | 25 |
| Amlodipine Besylate | 83 | 27 |
| Dapagliflozin Propanediolbrand: Farxiga | 79 | 21 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$784 across 39 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
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2011-03-17
Frequently asked questions
- What is Prashant Kumar's NPI number?
- Prashant Kumar's National Provider Identifier (NPI) is 1427087071, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prashant Kumar's specialty?
- Prashant Kumar is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Prashant Kumar located?
- Prashant Kumar's practice location on file with NPPES is 409 Gaslight Blvd, Lufkin, TX 75904-3132.
- What is Prashant Kumar's phone number?
- The practice phone number listed in the NPPES registry for Prashant Kumar is (936) 634-2227.
- Does Prashant Kumar accept Medicare?
- Prashant Kumar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prashant Kumar's NPI active?
- Yes — Prashant Kumar's NPI (1427087071) is active in the NPPES registry as of the last update on 2011-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.