Biresh Kumar, MD
NPI 1558341909 · Nephrology Physician · Waco, TX
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Biresh Kumar, MD is a Nephrology Physician provider in Waco, TX (NPI 1558341909).
Provider details
- NPI number
- 1558341909
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4301065642 (MI)
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 tenure25% of score
20 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
1,684 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) |
|---|---|---|
| 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'SG2211 | 372 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 279 | $93 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 174 | $76 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 166 | $75 |
| Dialysis Services, 4 Or More Physician Visits Per Month (20 Years Or Older)90960 | 149 | $335 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sevelamer Carbonate | 60 | 19 |
| Furosemide | 31 | — |
| Sucroferric Oxyhydroxidebrand: Velphoro | 27 | — |
| Amlodipine Besylate | 25 | 16 |
| Calcium Acetate | 17 | — |
| Ergocalciferol (vitamin D2)brand: Vitamin D2 | 16 | — |
| Losartan Potassium | 15 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$203 across 6 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
- 2006-01-20
- Last updated
- 2014-07-22
Frequently asked questions
- What is Biresh Kumar's NPI number?
- Biresh Kumar's National Provider Identifier (NPI) is 1558341909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Biresh Kumar's specialty?
- Biresh Kumar is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Biresh Kumar located?
- Biresh Kumar's practice location on file with NPPES is 5940 Crosslake Pkwy, Waco, TX 76712-6986.
- What is Biresh Kumar's phone number?
- The practice phone number listed in the NPPES registry for Biresh Kumar is (254) 666-2999.
- Does Biresh Kumar accept Medicare?
- Biresh Kumar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Biresh Kumar's NPI active?
- Yes — Biresh Kumar's NPI (1558341909) is active in the NPPES registry as of the last update on 2014-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.