Individual provider

Pradeep Kumar, MD

Pediatric Adolescent Medicine Physician Medicare enrolled

Pradeep Kumar, MD is a Pediatric Adolescent Medicine Physician in Mount Pleasant, WI, registered under NPI 1164463261.

Getting there

The practice address on file is 8400 WASHINGTON AVE, Mount Pleasant, WI 53406. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

8400 WASHINGTON AVE, Mount Pleasant, WI 53406 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
41877 WI Pediatric Adolescent Medicine Physician primary

This provider holds licence 41877 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pediatric Medicine
PAC ID
9931383874
Enrollment ID
I20110418000489

Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Adolescent Medicine covers

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NUCC Health Care Provider Taxonomy, code 2080A0000X
Allopathic & Osteopathic Physicians Pediatrics Adolescent Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164463261 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 9, 2006
Last updatedNov 6, 2023
StatusActive
Sole proprietorNo
CredentialMD
Practice address 8400 WASHINGTON AVE
Mount Pleasant, WI 53406
(262) 884-4000
Mailing address PO BOX 735044
Chicago, IL 60673
Other identifiers 32632100 · Medicaid (WI)
This record was updated on Nov 6, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1164463261 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 4 6 3 2 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 8 6 6 2 3

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164463261?
NPI 1164463261 is the National Provider Identifier assigned to Pradeep Kumar, MD in Mount Pleasant, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adolescent Medicine cover?
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
How do I contact Pradeep Kumar, MD?
The phone number on file with NPPES is (262) 884-4000, last updated Nov 6, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Pradeep Kumar, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164463261 a valid number?
Yes. 1164463261 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.