Nishant Kumar, D.O.
NPI 1477967560 · Internal Medicine Physician · Falls Church, VA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nishant Kumar, D.O. is a Internal Medicine Physician provider in Falls Church, VA (NPI 1477967560).
Provider details
- NPI number
- 1477967560
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 0102204840 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,302 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 921 | $123 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 224 | $116 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 145 | $74 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 12 | $180 |
Typical Medicare-allowed amounts for these services range $74–$180 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 22 | 22 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 20 | 20 |
| Apixabanbrand: Eliquis | 20 | 19 |
| Atorvastatin Calcium | 19 | 19 |
| Furosemide | 16 | 15 |
| Carvedilol | 15 | 14 |
| Amlodipine Besylate |
Practice location
Mailing address
Additional practice locations (2)
- 1500 Lansdowne AveDarby, PA 19023-1200Phone: (610) 237-4000
- 2300 Opitz Blvd Ste G-209Woodbridge, VA 22191-3311Phone: (703) 523-0611Fax: (703) 670-2089
Registry dates
- Enumerated
- 2014-06-17
- Last updated
- 2023-05-22
- Certified
- 2023-05-22
Frequently asked questions
- What is Nishant Kumar's NPI number?
- Nishant Kumar's National Provider Identifier (NPI) is 1477967560, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nishant Kumar's specialty?
- Nishant Kumar is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nishant Kumar located?
- Nishant Kumar's practice location on file with NPPES is 3300 Gallows Rd, Falls Church, VA 22042-3307.
- What is Nishant Kumar's phone number?
- The practice phone number listed in the NPPES registry for Nishant Kumar is (703) 776-3582.
- Does Nishant Kumar accept Medicare?
- Nishant Kumar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nishant Kumar's NPI active?
- Yes — Nishant Kumar's NPI (1477967560) is active in the NPPES registry as of the last update on 2023-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.