Monika Kumanova, M.D.
NPI 1568773042 · Family Medicine Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Monika Kumanova, M.D. is a Family Medicine Physician provider in Philadelphia, PA (NPI 1568773042).
Provider details
- NPI number
- 1568773042
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- MD451181 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 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
1,127 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 | 350 | $94 |
| Annual Alcohol Misuse Screening, 5 to 15 MinutesG0442 | 105 | $19 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 98 | $25 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 98 | $19 |
| Administration and Interpretation of Patient-Focused Health Risk Assessment96160 | 89 | $3 |
| 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'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 100 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 294 | 85 |
| Amlodipine Besylate | 265 | 87 |
| Metformin Hcl | 200 | 56 |
| Rosuvastatin Calcium | 185 | 61 |
| Levothyroxine Sodium | 181 | 44 |
| Lisinopril | 176 | 55 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$420 across 17 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
- 2010-06-29
- Last updated
- 2014-07-17
Frequently asked questions
- What is Monika Kumanova's NPI number?
- Monika Kumanova's National Provider Identifier (NPI) is 1568773042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Monika Kumanova's specialty?
- Monika Kumanova is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Monika Kumanova located?
- Monika Kumanova's practice location on file with NPPES is 1840 South St, Philadelphia, PA 19146-7411.
- What is Monika Kumanova's phone number?
- The practice phone number listed in the NPPES registry for Monika Kumanova is (215) 893-6200.
- Does Monika Kumanova accept Medicare?
- Monika Kumanova is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Monika Kumanova's NPI active?
- Yes — Monika Kumanova's NPI (1568773042) is active in the NPPES registry as of the last update on 2014-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.