Individual provider Active NPI

Kumaravel Perumalsamy, M.D.

  • Gastroenterology Physician
  • Lancaster, CA
National Provider Identifier
1851484323
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A103387 Issued in CA
Practice address
1331 W Avenue J Ste 202
Lancaster, CA 93534
Phone
(661) 529-7550
Fax
(661) 529-7560
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 002485-1 NY
Gastroenterology Physician 207RG0100X A103387 CA Primary

Addresses

Primary practice location

1331 W Avenue J Ste 202
Lancaster, CA 93534

Mailing address

PO Box 5688
Lancaster, CA 93539-5688
Phone (661) 948-0803

Other practice location 1

1753-B W. Avenue J
Lancaster, CA 93534
Phone (661) 948-0803

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
I20080915000471 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 4587663356 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sciometrix IncGroup PAC ID 9335511443, 46 clinicians
Oso Specialty Infusion IncGroup PAC ID 3274894720, 10 clinicians
Gastro Care InstituteGroup PAC ID 7214273481, 12 clinicians

Practice addresses (Care Compare)

1349 Camino del Mar
Suite B
Del Mar, CA 92014-2553
Phone (860) 335-5064

17175 Gillette Ave
Suite B
Irvine, CA 92614-5602
Phone (949) 660-7126

43944 15TH St W
Lancaster, CA 93534-5207

900 N Heritage Dr
Suite B
Ridgecrest, CA 93555-5543
Phone (661) 529-7550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy243
Upper gastrointestinal (GI) endoscopy for acid reflux345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103387CAMDGeneral Practice Dentistry
A103387CAMDGastroenterology Physician
002485-1NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
Oso Specialty Infusion, Inc. CurrentSince Apr 10, 2024 Accepting new patients
First Choice Physician Partners Gastroenterology CurrentSince Oct 25, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Oct 25, 2024 Accepting new patients
Gastro Care Institute Gastroenterology CurrentSince Jan 1, 2019 Accepting new patients
Sciometrix Inc CurrentSince Jan 1, 2026 Accepting new patients
Ridgecrest Regional Hospital Emergency Medicine Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
University Group Medical Associates, P.C Emergency Medicine Past Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients
Apollo Surgery Center LLC PastSince May 23, 2022 Accepting new patients
Exf Health Solutions Inc PastSince Jan 1, 2026 Accepting new patients
Sciometrix LLC PastSince Oct 10, 2021 Accepting new patients

Locations

1349 Camino del Mar
Ste B
Del Mar, CA 92014
Phone (858) 755-0084

17175 Gillette Ave
Ste B
Irvine, CA 92614
Phone 94966071262100

43944 15th St W
Ste 101
Lancaster, CA 93534
Phone (661) 579-4700

43944 15th St W
Lancaster, CA 93534
Phone (661) 529-7550

43944 15th St W
Ste 201
Lancaster, CA 93534
Phone (661) 529-7550

1753 W Avenue J
Ste A
Lancaster, CA 93534
Phone (661) 206-0555

1331 W Avenue J
Ste 202
Lancaster, CA 93534
Phone (661) 529-7550

43944 15th St W
#201
Lancaster, CA 93534

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1535 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-2196

900 N Heritage Dr
Ste B
Ridgecrest, CA 93555
Phone (661) 529-7550

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: telemed2u.kumaravelperumalsamy@160918.advancedmd-direct.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1851484323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5688",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935395688",
            "telephone_number": "661-948-0803",
            "fax_number": "661-948-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W AVENUE J STE 202",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-529-7550",
            "fax_number": "661-529-7560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1753-B W. Avenue J",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "93534",
            "country_code": "US",
            "telephone_number": "661-948-0803",
            "fax_number": "661-948-5004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERUMALSAMY",
        "first_name": "KUMARAVEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "002485-1",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A103387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.