Sneha Kumar, MD - Medicare Family Practice in Decatur, IL

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Sneha Kumar, MD is a medicare enrolled "Family Medicine" physician in Decatur, Illinois. She graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Leading Healthcare Clinic Of Goodyear, Llc and her current practice location is 302 W Hay St, Suite 110, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 876-6330.

Sneha Kumar is licensed to practice in Illinois (license number 036139241) 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 1811322001.

Contact Information

Sneha Kumar, MD
302 W Hay St, Suite 110,
Decatur, IL 62526-4167
(217) 876-6330
(217) 876-6335

Map and Direction




Physician's Profile

Full NameSneha Kumar
GenderFemale
SpecialityFamily Practice
Experience16 Years
Location302 W Hay St, Decatur, Illinois
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:
  • Sneha Kumar graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1811322001
  • Provider Enumeration Date: 09/06/2013
  • Last Update Date: 09/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1951606532
  • Enrollment ID: I20211004003246

Medical Identifiers

Medical identifiers for Sneha Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811322001NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036139241 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Leading Healthcare Clinic Of Goodyear, Llc73153773718

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. Sneha Kumar allows following entities to bill medicare on her behalf.
Entity NameBanner Primary Care Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417238908
PECOS PAC ID: 6406020155
Enrollment ID: O20111115000898
Entity NameLeading Healthcare Clinic Of Goodyear, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902448566
PECOS PAC ID: 7315377371
Enrollment ID: O20200415002967

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. Sneha 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
Sneha Kumar, MD
304 W Hay St Ste 218,
Decatur, IL 62526-4169

Ph: (217) 876-6330		Sneha Kumar, MD
302 W Hay St, Suite 110,
Decatur, IL 62526-4167

Ph: (217) 876-6330

Reviews and Comments


Family Medicine Doctors in Decatur, IL

Dr. Saranya Tharmakulasingam, MD
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Medicare: Medicare Enrolled
Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Dr. Mohammed J Ahmed, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Dr. Amna Karim, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Dr. Brooke Nicole Ballard, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 320 E Central Ave, Decatur, IL 62521
Phone: 217-877-9117    Fax: 217-864-2449
Dr. Vijay Krishan Sharma, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 250 W Kenwood Ave, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Dr. Mohammud Baleegh, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Amisha Kamath, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 250 W Kenwood Ave, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849

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.