KUMBLE R RAJESH MD
NPI 1609856541
Pediatrics in Lowell, MA
NPI Status: Active since January 18, 2006
Contact Information
161 JACKSON ST
LOWELL COMMUNITY HEALTH CENTER
LOWELL, MA
ZIP 01852
Phone: (978) 937-9700
Fax: (978) 446-9830
- Individual
- Male
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About KUMBLE RAJESH
This page provides the complete NPI Profile along with additional information for Kumble Rajesh, a pediatrician established in Lowell, Massachusetts with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1609856541 assigned on January 2006. The practitioner's primary taxonomy code is 208000000X with license number 154408 (MA). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1609856541
- Provider Name
- KUMBLE R RAJESH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 161 JACKSON ST LOWELL COMMUNITY HEALTH CENTER LOWELL, MA 01852
- Location Phone
- (978) 937-9700
- Location Fax
- (978) 446-9830
- Mailing Address
- 161 JACKSON ST LOWELL COMMUNITY HEALTH CENTER LOWELL, MA 01852
- Mailing Phone
- (978) 937-9700
- Mailing Fax
- (978) 446-9830
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-18-2006
- Last Update Date
- 07-25-2014
- Code Navigator
A pediatrician like Kumble Rajesh 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
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 154408
- License State
- MA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - 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.
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.
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 |
|---|---|---|---|
| 042881348 | OTHER (01) | BEECH STREET | |
| 042881348 | OTHER (01) | CHOICECARE | |
| 042881348 | OTHER (01) | ONE HEALTH | |
| 042881348 | OTHER (01) | UNICARE | |
| J18537 | OTHER (01) | BLUE CROSS BLUE SHIELD | |
| 204630 | OTHER (01) | HARVARD PILGRIM HEALTH | |
| 978645 | OTHER (01) | NETWORK HEALTH | |
| 1290748 | OTHER (01) | UNITED HEALTH CARE | |
| 791175 | OTHER (01) | TUFTS | |
| H40325 | MEDICARE UPIN (02) | ||
| 0012337 | OTHER (01) | NEIGHBORHOOD HEALTH PLAN | |
| J18537 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | |
| 2070153 | OTHER (01) | CIGNA | |
| 1305557 | MEDICAID (05) | MA | |
| 3368449 | OTHER (01) | AETNA | |
| 36266 | OTHER (01) | FALLON |
Medicare Participation & PECOS Enrollment Status
Kumble Rajesh 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
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01852 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.64
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $24.41
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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. | |||||||||
| 1 | 6 | 0 | 9 | 8 | 5 | 6 | 5 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 16 | 5 | 12 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 1 + 6 + 5 + 1 + 2 + 5 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1609856541 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780026138 | JENNIFER ETESSE Individual | Counselor (Mental Health) | 161 JACKSON ST LOWELL, MA 01852 (978) 937-9700 |
| 1467855684 | NICOLE KIERNAN LICSW Individual | Social Worker (Clinical) | 161 JACKSON ST LOWELL, MA 01852 (978) 746-7870 |
| 1467733436 | PAMELA SMITH RN Individual | Registered Nurse | 161 JACKSON ST LOWELL, MA 01852 (978) 937-9700 |
| 1285849018 | MS. CATHERINE A TAGER LICSW Individual | Social Worker (Clinical) | 161 JACKSON ST LOWELL, MA 01852 (978) 937-9700 |
| 1306213830 | SARAH WACHTER LCSW Individual | Social Worker (Clinical) | 161 JACKSON ST LOWELL, MA 01852 (978) 937-9700 |
| 1851635296 | ERICA TAMLYN LICSW Individual | Social Worker (Clinical) | 161 JACKSON ST LOWELL, MA 01852 (978) 746-7867 |
| 1457402133 | PADMA SURESH M.D. Individual | Psychiatry & Neurology (Psychiatry) | 161 JACKSON ST LOWELL, MA 01852 (978) 937-9700 |
| 1538332861 | DR. ADETOKUNBO OLUWAYEMISI OLOTU M.D. Individual | Pediatrics | 161 JACKSON ST LOWELL COMMUNITY HEALTH CENTER LOWELL, MA 01852 (978) 937-9700 |
| 1780133793 | PHUONG DANG Individual | Nurse Practitioner (Family) | 161 JACKSON ST LOWELL, MA 01852 (978) 441-1700 |
| 1700325669 | PAMELA S CRAWFORD RDH Individual | Dental Hygienist | 161 JACKSON ST LOWELL, MA 01852 (978) 746-7732 |
| 1083909535 | SAMANTHA LEN JORDAN D.M.D. Individual | Dentist | 161 JACKSON ST LOWELL, MA 01852 (978) 937-9700 |
| 1861902132 | SIMONE DE OLIVEIRA FNP Individual | Nurse Practitioner (Family) | 161 JACKSON ST LOWELL, MA 01852 (978) 937-9700 |
| 1700399243 | SARAH FRIEND Individual | Social Worker (Clinical) | 161 JACKSON ST LOWELL, MA 01852 (978) 322-8709 |
| 1730612417 | MONYWHONG CHAU PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 161 JACKSON ST LOWELL, MA 01852 (978) 995-1995 |
| 1528560638 | MRS. HANNAH DYER BURGESS LCSW Individual | Social Worker (Clinical) | 161 JACKSON ST LOWELL, MA 01852 (978) 937-9700 |
| 1407347446 | LOWELL COMMUNITY HEALTH CENTER, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 161 JACKSON ST LOWELL, MA 01852 (978) 937-9700 |
| 1710358577 | DR. KUNWARJIT SINGH GARCHA FNP-BC Individual | Nurse Practitioner (Family) | 161 JACKSON ST LOWELL, MA 01852 (978) 937-9700 |
| 1770079402 | RAFAT AL-REJJAL Individual | Student in an Organized Health Care Education/Training Program | 161 JACKSON ST LOWELL, MA 01852 (978) 746-7867 |
| 1326569344 | MS. GISSELLA MARIE MONTANEZ FNP Individual | Nurse Practitioner (Family) | 161 JACKSON ST LOWELL, MA 01852 (978) 937-9700 |
| 1114352556 | JENEBA JABBIE-HARRIS NP Individual | Nurse Practitioner (Adult Health) | 161 JACKSON ST LOWELL, MA 01852 (978) 746-7867 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609856541, enumerated in the NPI registry as an "individual" on January 18, 2006
The provider is located at 161 Jackson St Lowell Community Health Center Lowell, Ma 01852 and the phone number is (978) 937-9700
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Molina. 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.
Medicare beneficiaries should expect a typical cost of $97.64 with an average copayment of $24.41 for new patient appointments. Established patients should expect a typical charge of $111.18 and an average copayment of 27.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on January 18, 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].
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