Sudha Kumar, MD - Medicare Pediatrics in Fairfax, VA

Sudha Kumar, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Fairfax, Virginia. Her current practice location is 2730-b Prosperity Avenue, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 289-1400.

Sudha Kumar is licensed to practice in Virginia (license number 0101042238) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164439634.

Contact Information

Sudha Kumar, MD
2730-b Prosperity Avenue,
Fairfax, VA 22031
(703) 289-1400
(703) 289-1414

Map and Direction




Physician's Profile

Full NameSudha Kumar
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location2730-b Prosperity Avenue, Fairfax, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164439634
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7810146560
  • Enrollment ID: I20121012000549

Medical Identifiers

Medical identifiers for Sudha Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164439634NPI-NPPES
3653219OtherVAECFMG
6709401MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 0101042238 (Virginia)Primary

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. Sudha Kumar allows following entities to bill medicare on her behalf.
Entity NameChildrens Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912939703
PECOS PAC ID: 0244143170
Enrollment ID: O20031107000130

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. Sudha 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
Sudha Kumar, MD
1701 N George Mason Dr,
Arlington, VA 22205-3610

Ph: (703) 289-1400
Sudha Kumar, MD
2730-b Prosperity Avenue,
Fairfax, VA 22031

Ph: (703) 289-1400

Reviews and Comments


Pediatrics Doctors in Fairfax, VA

Ho Chung Tu, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3913 Old Lee Highway, Office No 31b, Fairfax, VA 22030
Phone: 703-359-0245    Fax: 928-436-3339
Dr. Lindsey Waldman,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3023 Hamaker Ct, Fairfax, VA 22031
Phone: 703-839-8797    
Dr. Laura E. Byrnes, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033
Phone: 703-391-0900    Fax: 703-391-2919
Dr. Julie-ann M Crewalk, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2730-c Prosperity Avenue, Fairfax, VA 22031
Phone: 703-226-2280    Fax: 703-752-1713
Sandy L. Chung, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033
Phone: 703-391-0900    Fax: 703-391-2919
Dr. James R Baugh, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3020 Hamaker Ct, Suite 200, Fairfax, VA 22031
Phone: 703-573-2432    Fax: 703-280-9350
Benjamin Isaac Enav, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031
Phone: 571-314-0444    Fax: 855-237-3628

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.

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