Individual provider Active NPI

Pooja Kumar, M.D.

  • Internal Medicine Physician
  • Hawthorne, CA
National Provider Identifier
1225328610
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A133070 Issued in CA
Practice address
4477 W 118TH St
Suite 200
Hawthorne, CA 90250-2255
Phone
(310) 675-4440
Fax
(310) 675-5816
NPI assigned
Apr 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A133070 CA Primary

Addresses

Primary practice location

4477 W 118TH St
Suite 200
Hawthorne, CA 90250-2255

Mailing address

4477 W 118TH St
Suite 200
Hawthorne, CA 90250-2255
Phone (310) 675-4440

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
I20150129002124 CA Practitioner - Internal Medicine 3375867971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ashok Kumar MD a Medical CorporationGroup PAC ID 0941245088, 2 clinicians

Practice addresses (Care Compare)

4477 W 118TH St
Suite 200
Hawthorne, CA 90250-2257
Phone (310) 675-4440

Hospital & facility affiliations

  • Omega Care Home Health Home health agency, Pasadena, CA, CCN 757347
  • Aasta Hospice Hospice, Northridge, CA, CCN 751649
  • Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739
  • Memorial Hospital of Gardena Hospital, Gardena, CA, CCN 050468
  • Gardena Convalescent Center Nursing home, Gardena, CA, CCN 056019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A133070CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashok Kumar, M.D., a Medical Corporation Internal Medicine CurrentSince Nov 15, 2014 Accepting new patients

Locations

4477 W 118th St
Ste 200
Hawthorne, CA 90250
Phone (310) 675-4440

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1225328610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4477 W 118TH ST",
            "address_2": "SUITE 200",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502255",
            "telephone_number": "310-675-4440",
            "fax_number": "310-675-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 W 118TH ST",
            "address_2": "SUITE 200",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502255",
            "telephone_number": "310-675-4440",
            "fax_number": "310-675-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "POOJA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A133070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

Verify at the official NPI Registry.