DR. PRAVEEN KUMAR MD
NPI 1043264872
Pediatrics - Neonatal-Perinatal Medicine in Jackson, MS

NPI Status: Active since May 19, 2006

Contact Information

2500 N. STATE STREET
UNIV OF MS MED CTR., NEWBORN MEDICINE
JACKSON, MS
ZIP 39216
Phone: (601) 815-7158

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  • Individual
  • Male
  • Pediatrics
  • Neonatal-Perinatal Medicine
  • Accepts Insurance
  • PECOS Enrolled

About PRAVEEN KUMAR

This page provides the complete NPI Profile along with additional information for Praveen Kumar, a pediatrician established in Jackson, Mississippi with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1043264872 assigned on May 2006. The practitioner's primary taxonomy code is 2080N0001X with license number 036089967 (IL). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1043264872
Provider Name
DR. PRAVEEN KUMAR MD
Gender
Male
Entity Type
Individual
Location Address
2500 N. STATE STREET UNIV OF MS MED CTR., NEWBORN MEDICINE JACKSON, MS 39216
Location Phone
(601) 815-7158
Mailing Address
2500 N. STATE STREET UNIV OF MS MED CTR., NEWBORN MEDICINE JACKSON, MS 39216
Mailing Phone
(601) 815-7158
Is Sole Proprietor?
No
Enumeration Date
05-19-2006
Last Update Date
01-02-2014
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A pediatrician like Praveen Kumar is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Neonatal-Perinatal Medicine

Taxonomy Code
2080N0001X
Type
Allopathic & Osteopathic Physicians
License No.
036089967
License State
IL
Taxonomy Description
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Precision Bronze HMO? 205 - HMO
  • Blue Precision Bronze HMO? 701 - HMO
  • Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
  • Blue Precision Gold HMO? 207 - HMO
  • Blue Precision Gold HMO? 703 - HMO
  • Blue Precision Gold HMO? Standard - Rx Copays - HMO
  • Blue Precision Silver HMO? 206 - HMO
  • Blue Precision Silver HMO? 704 - HMO
  • Blue Precision Silver HMO? Standard - Select Rx Copays - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F60642MEDICARE UPIN (02) 
036089967MEDICAID (05)IL 
291653YJ5DMEDICARE PIN (08)MS 

Medicare Participation & PECOS Enrollment Status

Praveen Kumar is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. PRAVEEN KUMAR MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043264872
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2083468814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 4 + 6 + 8 + 8 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1043264872 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992092134 TIA AUSTIN HAYES FNP-C
Individual
Nurse Practitioner (Family)2500 N. STATE STREET DIVISION OF NEPHROLOGY
JACKSON, MS 39216
(601) 984-5687
1396144135 LYDIA MICHELLE WALTERS FNP-C
Individual
Nurse Practitioner (Family)2500 N. STATE STREET
JACKSON, MS 39216
(601) 984-1000
1891236196DR. SHEN EN CHEN M.D., M.P.H., PH.D.
Individual
Internal Medicine2500 N. STATE STREET DEPARTMENT OF NEUROLOGY
JACKSON, MS 39216
(601) 984-5514
1689843906DR. VERONICA P CARULLO M.D.
Individual
Anesthesiology (Pain Medicine)2500 N. STATE STREET DEPARTMENT OF ANESTHESIOLOGY
JACKSON, MS 39216
(601) 984-5900
1639898877STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Organization
Orthopaedic Surgery2500 N. STATE STREET BIG MOUTH BASS CLINIC - SANDERSON TOWER - LEVEL B
JACKSON, MS 39216
(601) 984-6025
1669967055 JIMIKUMAR BALDEVBHAI PATEL MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)2500 N. STATE STREET JACKSON
JACKSON, MS 39216
(601) 984-4027
1477393403DR. VINAY PREMRAJH RUGNATH MD
Individual
Family Medicine2500 N. STATE STREET
JACKSON, MS 39216
(601) 984-6800
1912643677MISS SHENAE AUDRIANA CUMMINGS M.B.B.S
Individual
Student in an Organized Health Care Education/Training Program2500 N. STATE STREET
JACKSON, MS 39216
(601) 984-5607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043264872, enumerated in the NPI registry as an "individual" on May 19, 2006

The provider is located at 2500 N. State Street Univ Of Ms Med Ctr., Newborn Medicine Jackson, Ms 39216 and the phone number is (601) 815-7158

The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on May 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.