NPIMap

Individual provider Active NPI

Priya Gomathi Kumaravelu, MD

  • Medical Oncology Physician
  • San Jose, CA
National Provider Identifier
1154514677
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A100993 Issued in CA
Practice address
2589 Samaritan Dr
San Jose, CA 95124-4102
Phone
(650) 498-6000
NPI assigned
Aug 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X A100993 CA Primary
Hematology (Internal Medicine) Physician 207RH0000X A100993 CA
Internal Medicine Physician 207R00000X 4301086299 MI

Addresses

Primary practice location

2589 Samaritan Dr
San Jose, CA 95124-4102

Mailing address

2589 Samaritan Dr
San Jose, CA 95124-4102

Other practice location 1

175 N Jackson Ave
Suite 209
San Jose, CA 95116-1909
Phone (408) 203-4945

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081022000131 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3274691183 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Hospital & facility affiliations

  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
95.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086299MIMDInternal Medicine Physician
A100993CAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Mar 4, 2026 Accepting new patients
University Healthcare Alliance Internal Medicine CurrentSince Mar 4, 2026 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Sep 1, 2011 Accepting new patients
Stanford Health Care Internal Medicine CurrentSince Mar 4, 2026 Accepting new patients
Cancer and Blood Care of San Jose Inc CurrentSince Apr 1, 2016 Accepting new patients
County of Santa Clara Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Aug 1, 2015 Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

455 Oconnor Dr
Ste 370
San Jose, CA 95128
Phone (408) 292-7202

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

175 N Jackson Ave
Ste 209
San Jose, CA 95116
Phone (408) 210-0304

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2589 Samaritan Dr
San Jose, CA 95124
Phone (408) 357-1060

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mvincent59017@santaclaravalley.direct-ci.net

Organizations & group practices 11

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 12

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": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1154514677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244102",
            "telephone_number": "650-498-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 N Jackson Ave",
            "address_2": "Suite 209",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161909",
            "country_code": "US",
            "telephone_number": "408-203-4945",
            "fax_number": "408-516-9985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMARAVELU",
        "first_name": "PRIYA",
        "middle_name": "GOMATHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A100993",
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CA",
            "license": "A100993",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301086299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.