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Dr. Shweta Kumar , MD

Internal Medicine โ€ข Austin, TX

Active NPI 1760839963 Individual Practitioner Female Practitioner
Practice location in NPPES

4515 Seton Center Pkwy Ste 220
Austin, TX 787595784

Call 5123388388 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4515 Seton Center Pkwy Ste 220

Austin, TX 787595784

Telephone 5123388388
Organization at the Same NPPES Address or Phone
Austin Regional Clinic, Pa Facility NPI 1710443205

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Brooklyn, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare-allowed amount

About $1,283 in 2022

The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2022.

Paid by Medicare

About $1,090 in 2022

The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2022.

30-day fills

11 standardized 30-day fills in 2017

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$621 in 2017

The total cost of these prescriptions in 2017, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2017.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Austin and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Kumar are from 2022.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Kumar are from 2017.

607 active clinicians are listed under Internal Medicine with a practice address in Austin, TX (9,191 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Austin

16.5% of these 607 clinicians have the CMS telehealth indicator.

46.1% of these 607 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2017), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2022.

CMS Part B ยท Data Year 2022

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
14 12 $168.00 $91.65

Source: CMS Part B by Provider and Service, 2022; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2017.

CMS Part D ยท Data Year 2017
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Rosuvastatin Calcium Rosuvastatin Calcium 11 330 $621.10 โ€”

Source: CMS Part D by Provider and Drug, 2017; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-09
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES TX T1425

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Texas Medical License
T1425 (TX)

Secondary Practice Locations

450 Clarkson Ave, Box 1262, Department Suny Downstate Medical Center

Brooklyn, NY 11203

Phone: 7182708867

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

19 listed
NPI 1659358430

Doctor of Medicine (M.D.)

Dr. Sukanya Burugu , MD

Internal Medicine

NPI 1992710040

Doctor of Medicine (M.D.)

Dr. Victoria Chen , DO

Family Medicine

NPI 1457887481

Doctor of Osteopathic Medicine (D.O.)

Dr. Swati Date , MD

Internal Medicine

NPI 1982619045

Doctor of Medicine (M.D.)

Dr. Debra Dollar , MD

Internal Medicine

NPI 1275549545

Doctor of Medicine (M.D.)

Dr. Prakash Eapen , MD

Internal Medicine

NPI 1255595435

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location March 09, 2022

Registered at 4515 SETON CENTER PKWY STE 220, AUSTIN, TX 787595784 (Tel: 5123388388)

๐Ÿ“
Updated Business Mailing Address March 09, 2022

Registered at 4515 SETON CENTER PKWY STE 220, AUSTIN, TX 787595784 (Tel: 5123388388)

โœ…
NPI Profile Active June 10, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 10, 2016

Registered at 450 CLARKSON AVE, BOX 1262, DEPARTMENT SUNY DOWNSTATE MEDICAL CENTER, BROOKLYN, NY 11203 (Tel: 7182708867)

๐Ÿ“
Business Mailing Address (Initial Record) June 10, 2016

Registered at 450 CLARKSON AVE, BOX 1262, DEPARTMENT SUNY DOWNSTATE MEDICAL CENTER, BROOKLYN, NY 11203 (Tel: 7182708867)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 10, 2016

Recorded as SHWETA KUMAR, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2016

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration May 17, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760839963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2016
Last Update: March 09, 2022
Sole Proprietor: No

Other Internal Medicine Providers in Austin

All Internal Medicine Providers in Austin

Mailing Address

4515 Seton Center Pkwy Ste 220

Austin, TX 787595784

Phone: 5123388388

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.