Individual ProviderNishant KumarInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-3582(571) 423-5966PECOS EnrollmentBased on the most recent information from CMS, provider Nishant Kumar is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:50 AM.Profile DetailsProvider ID1477967560Provider TypeIndividualFull NameKumar, NishantTitleDr.CredentialD.O.GenderMaleSole ProprietorNoEnumeration Date6/17/2014Last Updated5/22/2023Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-3582FaxUnlisted FaxMailing LocationMailing AddressPO Box 37174, Baltimore, MD 21297-3174Phone(571) 423-5966FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0102204840VirginiaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense0102204840VirginiaProvider IdentifiersIDDescriptionIssuerIDK-560-630-019-275DescriptionOtherIssuerDRIVER'S LICENSEMaryland