Individual provider Active NPI

Tarun Mohan Kumar, M.D.

  • Family Medicine Physician
  • Redwood City, CA
National Provider Identifier
1467613588
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
146911 Issued in CA
Practice address
730 Woodside Rd
Redwood City, CA 94061
Phone
(650) 368-8800
Fax
(650) 368-8809
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26055 WV
Family Medicine Physician 207Q00000X 146911 CA Primary

Addresses

Primary practice location

730 Woodside Rd
Redwood City, CA 94061

Mailing address

730 Woodside Rd
Redwood City, CA 94061-3749
Phone (650) 368-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141212000993 WV Practitioner - Family Practice 3779715008 Reassigns benefits to 2 organizations
I20171122000973 CA Practitioner - Family PracticePractitioner - Allergy/Immunology 3779715008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
WV Asthma and Allergy Centers IncGroup PAC ID 8527137728, 8 clinicians

Practice addresses (Care Compare)

208 Maccorkle Ave SE
Charleston, WV 25314-1160
Phone 304343430099

730 Woodside Rd
Redwood City, CA 94061-3749
Phone (650) 368-8800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146911CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Asthma and Allergy Center P.C. CurrentSince Sep 20, 2018 Accepting new patients
WV Asthma and Allergy Centers, Inc. CurrentSince Sep 20, 2014 Accepting new patients
WV Asthma and Allergy Centers, Inc. CurrentSince Sep 20, 2014 Accepting new patients
WV Asthma and Allergy Centers, Inc. Current Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC Family Medicine CurrentSince Mar 1, 2015 Accepting new patients

Locations

730 Woodside Rd
Redwood City, CA 94061
Phone (650) 368-8800

246 George St
Beckley, WV 25801
Phone (304) 253-7100

208 Maccorkle Ave SE
Charleston, WV 25314
Phone (304) 343-4300

118 Nick Savas Dr
Logan, WV 25601
Phone (304) 752-4045

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

418 Grand Park Dr
Ste 326
Parkersburg, WV 26105
Phone (304) 422-1400

598 Church St S
#A
Ripley, WV 25271
Phone (304) 372-3033

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.

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1467613588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 WOODSIDE RD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613749",
            "telephone_number": "650-368-8800",
            "fax_number": "650-368-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 WOODSIDE RD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94061",
            "telephone_number": "650-368-8800",
            "fax_number": "650-368-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "TARUN",
        "middle_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "26055",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "146911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.