Prerna Kumar, M.D.
Pediatric Hematology & Oncology Physician · Peoria, IL
Prerna Kumar, M.D. is a pediatric hematology & oncology physician with a practice address in Peoria, Illinois, and NPI 1568752681, issued on Apr 11, 2011. Check the license (Illinois 036146970, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Prerna Kumar
- Credential
- M.D.
- Primary taxonomy
- Pediatric Hematology & Oncology Physician 2080P0207X
- License numbers
- 036146970 IL
DR.0053713 CO
Self-reported in NPPES; status is on the state search - Practice location
- 530 NE Glen Oak Ave, Peoria, IL 61637
- Phone
- (309) 624-4945
- Enumerated
- Apr 11, 2011
- Record last updated
- Jan 31, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicaid ID
- 036146970 IL
- Entity
- Type 1 · individual
8 nearest pediatric hematology & oncology physician records → All 119 in Illinois → Look up another NPI →
Also registered at 530 NE Glen Oak Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Mohammed Abdulaaima, MDInternal Medicine Physician1861952707
- Makram Abou Ghaida, MDStudent in an Organized Health Care Education/Training Program1659119253
- Bassel Abouzeid, MDObstetrics & Gynecology Physician1376160846
- Susan Abraham, M.D.Internal Medicine Physician1598926818
- Angela AdamsOccupational Therapist1124564802
Verify Prerna Kumar in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036146970Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
69% fewer Medicare Part D claims than the average pediatric hematology & oncology physician in 2024
29 Medicare Part D claims, against an average of 94 among the 300 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 87.1 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Prerna Kumar among 119 pediatric hematology & oncology physician records in Illinois
Prerna Kumar, M.D. is one of 119 pediatric hematology & oncology physician records with a practice address in Illinois. 52% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 61% of them.
- NPI issued2011 · 61% of these records are older, 33% newer
- In a Medicare fileYes · 52% of these records are
- In the CMS Doctors and Clinicians fileNo · 37% of these records are
- Record last updated2020 · 33% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0207X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Hematology & Oncology Physician providers in Illinois
There are 119 pediatric hematology & oncology physician records in Illinois.
All 119 in Illinois → Every provider in Peoria → Pediatric Hematology & Oncology Physician nationwide →
The 8 pediatric hematology & oncology physician records with the nearest ZIP codes
- Reuben Antony, MDPeoria, IL 616371265720510
- Surabhi Batra, MDPeoria, IL 616371972733160
- Pedro De Alarcon, MDPeoria, IL 616371841293032
- Brinda Mehta, M.D.Peoria, IL 616371205195849
- Margaret Nagel, M.D.Peoria, IL 616371841677051
- Mary Ross, MD, PHDPeoria, IL 616371841287588
- Kay Saving, MDPeoria, IL 616371558339978
- Michael Tarantino, MDPeoria, IL 616141396731063
Common questions
What is Prerna Kumar, M.D.'s NPI number?
Prerna Kumar, M.D.'s National Provider Identifier (NPI) is 1568752681, issued on Apr 11, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Prerna Kumar, M.D. located?
The NPPES record lists a practice address at 530 NE Glen Oak Ave, Peoria, IL, 61637. Phone: (309) 624-4945. Providers update this record themselves, so call before visiting.
How can I verify Prerna Kumar, M.D.'s license?
NPPES lists Illinois license number 036146970, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Prerna Kumar, M.D. prescribe under Medicare Part D?
In 2024, Prerna Kumar, M.D. had 29 Medicare Part D claims; the average among pediatric hematology & oncology physician prescribers was 94. Part D covers Medicare prescriptions only.
What is Prerna Kumar, M.D.'s MIPS final score?
The 2023 MIPS final score is 87.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.