Dr Sonia Kumar, MD - Medicare Family Practice in Fridley, MN

Dr Sonia Kumar, MD is a medicare enrolled "Family Medicine" physician in Fridley, Minnesota. She graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Fairview Clinics and her current practice location is 6341 University Ave Ne, Fridley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 572-5710.

Dr Sonia Kumar is licensed to practice in Minnesota (license number 34408) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770548042.

Contact Information

Dr Sonia Kumar, MD
6341 University Ave Ne,
Fridley, MN 55432-4946
(763) 572-5710
(763) 586-5888

Map and Direction




Physician's Profile

Full NameDr Sonia Kumar
GenderFemale
SpecialityFamily Practice
Experience39 Years
Location6341 University Ave Ne, Fridley, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sonia Kumar graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1770548042
  • Provider Enumeration Date: 04/19/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3577585926
  • Enrollment ID: I20051228000594

Medical Identifiers

Medical identifiers for Dr Sonia Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770548042NPI-NPPES
1M858KUOtherMNBCBS OF MN
4258886OtherMNAETNA
HP13752OtherMNHEALTHPARTNERS
1000867OtherMNPREFERRED ONE
20848OtherMNAMERICA'S PPO
6603871OtherMNMEDICA UC
107303OtherMNUCARE
0125466OtherMNMEDICA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34408 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeRoseville, MNHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Clinics7113830142658

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sonia Kumar allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sonia Kumar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sonia Kumar, MD
6401 University Ave Ne,
Fridley, MN 55432-4341

Ph: (763) 572-5710
Dr Sonia Kumar, MD
6341 University Ave Ne,
Fridley, MN 55432-4946

Ph: (763) 572-5710

Reviews and Comments


Family Medicine Doctors in Fridley, MN

Kevin Brent Bailey, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7675 Madison St Ne, Fridley, MN 55432
Phone: 763-785-4500    Fax: 763-785-3314
Dr. Elise Christine Brodin Larson, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5130 Main St Ne, Fridley, MN 55421
Phone: 612-216-1471    Fax: 833-972-1587
Dr. Elise Michelle Binsfeld, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6341 University Ave Ne, Fridley, MN 55432
Phone: 763-572-5710    Fax: 763-571-3008
Steven Duane Bentz, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7675 Madison St Ne, Fridley, MN 55432
Phone: 763-785-4500    Fax: 763-785-3314
James William Keane, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7675 Madison St Ne, Fridley, MN 55432
Phone: 763-785-4500    Fax: 763-785-3314
Rachel Kwiatkowski, ATC
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 550 Osborne Rd Ne, Fridley, MN 55432
Phone: 763-236-5000    
Dr. Janet Lynn Price, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432
Phone: 736-236-2500    Fax: 763-236-2505

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.