Ajith Kumar


Address: 1221 Highland Ave, Clarkston, WA 99403-2829

Ajith Kumar (NPI# 1609952381, PAC ID# 7719052521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1609952381
PAC ID by PECOS 7719052521
Professional Enrollment ID I20080813000494
Full Name Ajith Kumar
Address 1221 Highland Ave
Clarkston
WA 99403-2829
Gender M
Graduation Year 1991
Primary Specialty INTERNAL MEDICINE
Secondary Specialties NEPHROLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130003 ST JOSEPH REGIONAL MEDICAL CENTER
501332 TRI-STATE MEMORIAL HOSPITAL
131321 ST MARYS HOSPITAL AND CLINICS
131320 CLEARWATER VALLEY HOSPITAL & CLINICS
131315 SYRINGA GENERAL HOSPITAL

Other Locations

Address Phone Organization
1221 Highland Ave, Clarkston, WA 99403-2829
2124 12th Ave, Lewiston, ID 83501-3502

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 42%
ACI_EC_TRANS_EP_1 e-Prescribing 42%
ACI_EC_TRANS_PEA_1 Provide Patient Access 99%
ACI_EC_TRANS_PEA_1 Provide Patient Access 99%
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 14%
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 14%

Organization Information

Office Location

Street Address 1221 HIGHLAND AVE
City CLARKSTON
State WA
Zip 99403-2829

Physicians in the same location

Name Specialty Organization Address
Candice M Klemens Physician Assistant Catalyst Medical Group, Pllc 1221 Highland Ave, Clarkston, WA 99403-2829
Gregory Robert Obray Physician Assistant Catalyst Medical Group, Pllc 1221 Highland Ave, Clarkston, WA 99403-2829
Tyler L Anderson Physician Assistant Tri-state Memorial Hospital 1221 Highland Ave, Clarkston, WA 99403-2829
Richard L Zobell Urology Tri-state Memorial Hospital 1221 Highland Ave, Clarkston, WA 99403-2829
William W Wheeler General Surgery Tri-state Memorial Hospital 1221 Highland Ave, Clarkston, WA 99403-2829
Gerardo Midence Hematology/oncology St Joseph Hospital LLC 1221 Highland Ave, Clarkston, WA 99403-2829
Claudia-denise Haivas Nephrology Tri-state Memorial Hospital 1221 Highland Ave, Clarkston, WA 99403-2829
Mark W Peterson Diagnostic Radiology Tri-state Memorial Hospital 1221 Highland Ave, Clarkston, WA 99403-2829
Leif P Kanooth Internal Medicine Tri-state Memorial Hospital 1221 Highland Ave, Clarkston, WA 99403-2829
Bryan J Phelps Certified Registered Nurse Anesthetist (crna) Tri-state Memorial Hospital 1221 Highland Ave, Clarkston, WA 99403-2829
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Nicholas G Phillips Psychiatry Tri-state Memorial Hospital 302 5th St, Suite 3, Clarkston, WA 99403-1801
Mark T Eggleston Ophthalmology Eye Care Specialists Ps 500 Port Dr, Clarkston, WA 99403-1835
Chad R Bouterse Ophthalmology Eye Care Specialists Ps 500 Port Dr, Clarkston, WA 99403-1835
Marcia G Holthaus Clinical Social Worker Quality Behavioral Health 900 7th St, Clarkston, WA 99403-2005
Allen M Ernster Family Medicine Quality Behavioral Health 900 7th St, Clarkston, WA 99403-2005
Ann M Ridinger Clinical Social Worker Quality Behavioral Health 900 7th St, Clarkston, WA 99403-2005
Kristine G Kemp Clinical Social Worker Quality Behavioral Health 900 7th St, Clarkston, WA 99403-2005
Teresa L Abel Clinical Social Worker Quality Behavioral Health 900 7th St, Clarkston, WA 99403-2005
Cheryl L Rudd Physical Therapy Twin Rivers Physical Therapy, LLC 725 6th St, Suite 101, Clarkston, WA 99403-2006
Edward C Harkins Physical Therapy Twin Rivers Physical Therapy, LLC 725 6th St, Suite 101, Clarkston, WA 99403-2006
Find all physicians in zip 99403

Competitor

Search similar physicians

City CLARKSTON
Zip Code 99403
Specialty INTERNAL MEDICINE
City + Specialty CLARKSTON + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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