Shweta Kumar, MD - Medicare Internal Medicine in Vernon, CT

Shweta Kumar, MD is a medicare enrolled "Internal Medicine" physician in Vernon, Connecticut. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Hospitalist Medicine Physicians Of Connecticut Llc and her current practice location is 31 Union St, Vernon, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 872-0501.

Shweta Kumar is licensed to practice in Connecticut (license number 56948) 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 1780038620.

Contact Information

Shweta Kumar, MD
31 Union St,
Vernon, CT 06066
(860) 872-0501
Not Available

Map and Direction




Physician's Profile

Full NameShweta Kumar
GenderFemale
SpecialityInternal Medicine
Experience17 Years
Location31 Union St, Vernon, Connecticut
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:
  • Shweta Kumar graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1780038620
  • Provider Enumeration Date: 04/18/2016
  • Last Update Date: 06/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2860749264
  • Enrollment ID: I20180717000707

Medical Identifiers

Medical identifiers for Shweta Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780038620NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 56948 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Manchester Memorial HospitalManchester, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospitalist Medicine Physicians Of Connecticut Llc862810407229

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. Shweta Kumar allows following entities to bill medicare on her behalf.
Entity NameHospitalist Medicine Physicians Of Connecticut Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558696153
PECOS PAC ID: 8628104072
Enrollment ID: O20100325000168
Entity NameSound Physicians Of Massachusetts Ii Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306376397
PECOS PAC ID: 9436421567
Enrollment ID: O20220607002184

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. Shweta 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
Shweta Kumar, MD
254 Easton Ave,
New Brunswick, NJ 08901-1766

Ph: (732) 745-8600
Shweta Kumar, MD
31 Union St,
Vernon, CT 06066

Ph: (860) 872-0501

Reviews and Comments


Internal Medicine Doctors in Vernon, CT

David Hatch, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 57 Hartford Tpke, Vernon, CT 06066
Phone: 860-645-1112    Fax: 860-533-1289
Richard Orris, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 428 Hartford Tpke, Vernon, CT 06066
Phone: 860-533-4611    Fax: 860-533-4607
Maryann Igoe, APRN
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 57 Hartford Tpke, Vernon, CT 06066
Phone: 860-645-1112    Fax: 860-533-1289
Ali Hemacha, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 428 Hartford Tpke, Suite 207, Vernon, CT 06066
Phone: 860-872-5426    Fax: 860-872-5689
Girish L Sharma, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 520 Hartford Tpke, Suite P, Vernon, CT 06066
Phone: 860-871-2636    Fax: 860-871-6158
Dr. Michael R Sharon, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 520 Hartford Tpke, Vernon, CT 06066
Phone: 860-872-0888    Fax: 860-872-8940
Dr. Karen C. Halasan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 27 Naek Rd, Vernon, CT 06066
Phone: 860-875-2444    Fax: 860-875-1952

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.