Individual provider Active NPI

Parmod Kumar, M.D.

  • Specialist
  • Porterville, CA
National Provider Identifier
1104886142
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A46046 Issued in CA
Practice address
583 W Putnam Ave
Porterville, CA 93257-3260
Phone
(559) 781-6655
Fax
(559) 781-7876
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A46046 CA Primary

Addresses

Primary practice location

583 W Putnam Ave
Porterville, CA 93257-3260

Mailing address

1255 N Cherry St.
PMB # 552
Tulare, CA 93274-2233
Phone (559) 781-6655

Other identifiers 2

IdentifierTypeStateIssuer
1104886142OtherCANPI
00A460460MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000990 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 5799747853 Practice locations: Porterville, CA

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

585 W Putnam Ave
Porterville, CA 93257-3270
Phone (559) 359-9752

Hospital & facility affiliations

  • Seva Home Health Home health agency, Porterville, CA, CCN 059544
  • Sierra View Medical Center Hospital, Porterville, CA, CCN 050261
  • Adventist Health Tulare Hospital, Tulare, CA, CCN 050784
  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112

Merit-based Incentive Payment System (MIPS)

Final score
27.58 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
91.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy534
Upper gastrointestinal (GI) endoscopy for acid reflux731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A46046CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kannappan Mohan, M.D., Inc., Professional Corporation CurrentSince May 16, 2021 Accepting new patients

Locations

583 W Putnam Ave
Porterville, CA 93257
Phone (559) 751-6655

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Merritt Manor Convalescent HospitalTulare, CA, CCN 056261 Skilled nursing facility W-2 Managing Employee Jul 1, 2002

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1104886142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 N CHERRY ST.",
            "address_2": "PMB # 552",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742233",
            "telephone_number": "559-781-6655",
            "fax_number": "559-781-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573260",
            "telephone_number": "559-781-6655",
            "fax_number": "559-781-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "PARMOD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A46046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104886142",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A460460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.