Individual provider Active NPI

Pradeep Kumar, MD FACC FSCAI

  • Cardiovascular Disease Physician
  • Fremont, CA
National Provider Identifier
1295838746
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A62416 Issued in CA
Practice address
1900 Mowry Ave
Suite 309
Fremont, CA 94538-1722
Phone
(510) 790-9300
Fax
(510) 790-9301
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A62416 CA Primary

Addresses

Primary practice location

1900 Mowry Ave
Suite 309
Fremont, CA 94538-1722

Mailing address

1900 Mowry Ave
Suite 309
Fremont, CA 94538-1722
Phone (510) 790-9300

Other identifiers 1

IdentifierTypeStateIssuer
00A624160MedicaidCA

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
I20050309000631 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183678451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington Township Hospital DistrictGroup PAC ID 2860488822, 28 clinicians

Practice addresses (Care Compare)

1900 Mowry Ave
Fremont, CA 94538-1722
Phone (510) 790-9300

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

27200 Calaroga Ave
Hayward, CA 94545-4339
Phone (510) 264-4000

Hospital & facility affiliations

  • A Caring Life Home Health, Inc. Home health agency, Tracy, CA, CCN 559629
  • Amore Home Health Home health agency, Fremont, CA, CCN 059509
  • We Care Home Care and Hospice, Inc. Home health agency, Fremont, CA, CCN 059413
  • Washington Hospital Hospital, Fremont, CA, CCN 050195
  • St Rose Hospital Hospital, Hayward, CA, CCN 050002
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488

Merit-based Incentive Payment System (MIPS)

Final score
23.4 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
California Cardiology Associates Inc Cardiovascular Disease CurrentSince Jan 2, 2012 Accepting new patients
Washington Township Hospital District Current Accepting new patients
Washington Township Hospital District CurrentSince Oct 5, 2009 Accepting new patients
Hayward Sisters Hospital Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

1900 Mowry Ave
Ste 309
Fremont, CA 94538
Phone (510) 790-9300

2147 Mowry Ave
Ste D4
Fremont, CA 94538
Phone (510) 574-0800

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

27206 Calaroga Ave
Ste 201
Hayward, CA 94545
Phone (510) 359-4556

27206 Calaroga Ave
Ste 107
Hayward, CA 94545
Phone (510) 300-9898

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JACFBA/Endpoint/JACFBA

Organizations & group practices 5

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 6

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1295838746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MOWRY AVE",
            "address_2": "SUITE 309",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381722",
            "telephone_number": "510-790-9300",
            "fax_number": "510-790-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MOWRY AVE",
            "address_2": "SUITE 309",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381722",
            "telephone_number": "510-790-9300",
            "fax_number": "510-790-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "PRADEEP",
        "credential": "MD FACC FSCAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A62416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A624160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.