Prabhat Kumar, M.D.
NPI 1699072637 · Clinical Cardiac Electrophysiology Physician · Sanford, NC
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prabhat Kumar, M.D. is a Clinical Cardiac Electrophysiology Physician provider in Sanford, NC (NPI 1699072637).
Provider details
- NPI number
- 1699072637
- Entity type
- Individual
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 18269 (ZZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
15 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
2,720 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) |
|---|---|---|
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 1,476 | $8 |
| Evaluation of Single, Dual, Multiple Lead Or Leadless Pacemaker System, Remote Up to 90 Days93294 | 349 | $27 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 312 | $8 |
| Evaluation of Single, Dual, Or Multiple Lead Implantable Defibrillator System, Remote Up to 90 Days93295 | 148 | $34 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 95 | $97 |
| Evaluation of Cardiac Rhythm Monitor System, Remote Up to 30 Days |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Apixabanbrand: Eliquis | 98 | 23 |
| Metoprolol Succinate | 61 | 23 |
| Amiodarone Hcl | 44 | 16 |
| Flecainide Acetate | 29 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$724 across 9 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
- 2011-02-25
- Last updated
- 2024-08-05
- Certified
- 2024-08-05
Frequently asked questions
- What is Prabhat Kumar's NPI number?
- Prabhat Kumar's National Provider Identifier (NPI) is 1699072637, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prabhat Kumar's specialty?
- Prabhat Kumar is listed in the NPPES registry with a primary specialty of Clinical Cardiac Electrophysiology Physician (Allopathic & Osteopathic Physicians).
- Where is Prabhat Kumar located?
- Prabhat Kumar's practice location on file with NPPES is 1301 Central Dr, Sanford, NC 27330-4159.
- What is Prabhat Kumar's phone number?
- The practice phone number listed in the NPPES registry for Prabhat Kumar is (919) 718-9512.
- Does Prabhat Kumar accept Medicare?
- Prabhat Kumar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prabhat Kumar's NPI active?
- Yes — Prabhat Kumar's NPI (1699072637) is active in the NPPES registry as of the last update on 2024-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.