Sheetal Kumar, DO
Hematology & Oncology Physician · Providence, RI
Sheetal Kumar, DO is a hematology & oncology physician with a practice address in Providence, Rhode Island, and NPI 1942682133, issued on Jun 24, 2015. Check the license (Rhode Island DO01409, as entered in NPPES) on the Rhode Island Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.
- Name
- Sheetal Kumar
- Credential
- DO
- Primary taxonomy
- Hematology & Oncology Physician 207RH0003X
- License number
- DO01409 RI
Self-reported in NPPES; status is on the state search - Practice location
- 164 Summit Ave, Providence, RI 02906
- Phone
- (401) 793-2920
- Enumerated
- Jun 24, 2015
- Record last updated
- Dec 3, 2024
- Fax
- (401) 793-2859
- Medicare enrollment
- Enrolled (PECOS I20250108002678); accepts Medicare assignment
- Medical or professional school
- Lake Erie Col Of Osteo Med At Seton Hill Univ, 2015
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest hematology & oncology physician records → All 88 in Rhode Island → Look up another NPI →
Also registered at 164 Summit Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Zainab AbbasiInternal Medicine Physician1154990125
- Curtis Abbott, P.A.-C.Surgical Physician Assistant1730358185
- Jennifer Adelson-Mitty, MDInfectious Disease Physician1700830924
- Rahul Aggarwal, MDInternal Medicine Physician1477286839
- Kristy Altongy-Magee, PA-CSurgical Physician Assistant1336334473
- Lisha AndrewRegistered Dietitian1164992558
Verify Sheetal Kumar in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersRhode Island Board of Medical Licensure and Discipline
Search for license DO01409Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
32% fewer Medicare Part D claims than the average hematology & oncology physician in 2024
597 Medicare Part D claims for 115 beneficiaries, against an average of 877 among the 10,784 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims. 14 claims were for opioids.
Most prescribed
- Anastrozole137 claims
- Exemestane36 claims
- Gabapentin32 claims
- Tamoxifen Citrate31 claims
- Dexamethasone26 claims
- Hydroxyurea23 claims
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): 81.7 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).
One hospital affiliation
- Rhode Island HospitalProvidence, RI · Acute Care Hospitals4 of 5 stars
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Sheetal Kumar among 88 hematology & oncology physician records in Rhode Island
Sheetal Kumar, DO is one of 88 hematology & oncology physician records with a practice address in Rhode Island. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 74% of them.
- NPI issued2015 · 74% of these records are older, 22% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated2015 · median 2002 among the 64 with a school on file
- Record last updated2024 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RH0003X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Hematology & Oncology Physician providers in Rhode Island
There are 88 hematology & oncology physician records in Rhode Island.
All 88 in Rhode Island → Every provider in Providence → Hematology & Oncology Physician nationwide →
The 8 hematology & oncology physician records with the nearest ZIP codes
- Joseph Dibenedetto, MDProvidence, RI 029061205820222
- Hina Khan, M.D.Providence, RI 029061356662803
- Anthony Mega, MDProvidence, RI 029061457309858
- Iole Ribizzi-Akhtar, M.D.Providence, RI 029061386799260
- Sherise Rogers, M.D.Providence, RI 029061114346988
- Howard Safran, M.D.Providence, RI 029061982616744
- Edward Wittels, MDProvidence, RI 029061750348587
- Raymond Chaquette, M.D.Providence, RI 029051992706139
Common questions
What is Sheetal Kumar, DO's NPI number?
Sheetal Kumar, DO's National Provider Identifier (NPI) is 1942682133, issued on Jun 24, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Sheetal Kumar, DO located?
The NPPES record lists a practice address at 164 Summit Ave, Providence, RI, 02906. Phone: (401) 793-2920. Providers update this record themselves, so call before visiting.
How can I verify Sheetal Kumar, DO's license?
NPPES lists Rhode Island license number DO01409, as entered by the provider. Search the Rhode Island Board of Medical Licensure and Discipline at https://healthri.mylicense.com/Verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sheetal Kumar, DO prescribe under Medicare Part D?
In 2024, Sheetal Kumar, DO had 597 Medicare Part D claims for 115 beneficiaries; the average among hematology & oncology physician prescribers was 877. Part D covers Medicare prescriptions only.
What is Sheetal Kumar, DO's MIPS final score?
The 2023 MIPS final score is 81.7 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.