Individual provider Active NPI

Keeran Kumar, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Encinitas, CA
National Provider Identifier
1821153453
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A95239 Issued in CA
Practice address
320 Santa Fe Dr Ste 308
Encinitas, CA 92024-5139
Phone
(858) 764-3837
Fax
(760) 230-6566
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A95239 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A95239 CA Primary

Addresses

Primary practice location

320 Santa Fe Dr Ste 308
Encinitas, CA 92024-5139

Mailing address

320 Santa Fe Dr Ste 308
Encinitas, CA 92024-5139
Phone (858) 764-3837

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
I20090723000421 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 8325190267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
University of California, San Diego School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 Santa Fe Dr
Suite 308
Encinitas, CA 92024-5139
Phone (858) 764-3837

Hospital & facility affiliations

  • Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503

Merit-based Incentive Payment System (MIPS)

Final score
23.02 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Anesthesia Service Medical Group Anesthesiology CurrentSince Aug 1, 2011 Accepting new patients
Keeran Kumar MD Inc Pain Medicine CurrentSince May 4, 2015 Accepting new patients
Integrated Pain Specialists of Southern California, Inc. Pain Medicine PastSince Aug 1, 2006 Accepting new patients
Scripps Health Past Accepting new patients

Locations

320 Santa Fe Dr
Ste 308
Encinitas, CA 92024
Phone (760) 230-5188

3626 Ruffin Rd
San Diego, CA 92123
Phone (619) 565-9666

Interoperability endpoints

  • Direct secure messaging: kkumar34868@scrippshlth.medalliesdirect.net

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 1

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1821153453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR STE 308",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245139",
            "telephone_number": "858-764-3837",
            "fax_number": "760-230-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR STE 308",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245139",
            "telephone_number": "858-764-3837",
            "fax_number": "760-230-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "KEERAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A95239",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A95239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.