Active NPI
Kusuma Hampapur, M.D.
- Internal Medicine Physician
- Pleasanton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 137106
- Practice address
- 5925 W Las Positas Blvd Ste 100
Pleasanton, CA 94588-8537 - Phone
- (925) 462-1755
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 042556 | CT | |
| Internal Medicine Physician | 207R00000X | 042556 | CT | |
| Internal Medicine Physician | 207R00000X | 137106 | CA | Primary |
| Internal Medicine Physician | 207R00000X | 291647 | NY |
Addresses
Primary practice location
5925 W Las Positas Blvd Ste 100
Pleasanton, CA 94588-8537
Mailing address
5925 W Las Positas Blvd Ste 100
Pleasanton, CA 94588-8537
Phone (925) 462-1755
Other practice location 1
1400 Pelham Pkwy S
Bronx, NY 10461-1197
Phone (718) 918-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001425562 | Medicaid | CT | |
| 34966 | Other | CT | CT CSR |
| 042556 | Other | CT | CT PHYSICIAN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Axis Community Health Inc
Practice addresses (Care Compare)
5925 W Las Positas Blvd
Pleasanton, CA 94588-8537
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137106 | CA | MD | Clinical Social Worker |
| 042556 | CT | MD | Internal Medicine Physician |
| 291647 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South-West Community Health Center, Inc | Current | Accepting new patients | |
| Yale University | Internal Medicine | Past | Accepting new patients |
Locations
968 Fairfield Ave
Bridgeport, CT 06605
762 Lindley St
Bridgeport, CT 06606
Phone (203) 576-5131
510 Clinton Ave
Bridgeport, CT 06605
Phone (203) 366-4000
46 Albion St
Bridgeport, CT 06605
Phone (203) 332-3155
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- khampapur990346@nychhc.direct-ci.com
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bridgeport, CT
- NPI 1699703686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1346306008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5925 W LAS POSITAS BLVD STE 100",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888537",
"telephone_number": "925-462-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5925 W LAS POSITAS BLVD STE 100",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888537",
"telephone_number": "925-462-1755"
}
],
"practiceLocations": [
{
"address_1": "1400 Pelham Pkwy S",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104611197",
"country_code": "US",
"telephone_number": "718-918-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMPAPUR",
"first_name": "KUSUMA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "042556",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "042556",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "137106",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "291647",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001425562",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT CSR",
"identifier": "34966",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT PHYSICIAN LICENSE",
"identifier": "042556",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.