Active NPI
Kumaravel Perumalsamy, M.D.
- Gastroenterology Physician
- Lancaster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A103387
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 243 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 345 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103387 | CA | MD | General Practice Dentistry |
| A103387 | CA | MD | Gastroenterology Physician |
| 002485-1 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Current | Accepting new patients | |
| Oso Specialty Infusion, Inc. | Current | Accepting new patients | |
| First Choice Physician Partners | Gastroenterology | Current | Accepting new patients |
| First Choice Physician Partners | Current | Accepting new patients | |
| Gastro Care Institute | Gastroenterology | Current | Accepting new patients |
| Sciometrix Inc | Current | 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 | Past | Accepting new patients | |
| Exf Health Solutions Inc | Past | Accepting new patients | |
| Sciometrix LLC | Past | 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
- 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.
-
- Gastroenterology Physician
- Lancaster, CA
- NPI 1326514746
-
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1700305505
-
- Clinical Informatics Physician
- Lancaster, CA
- NPI 1659199750
-
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Clinical Informatics Physician
- Frisco, TX
- NPI 1306701578
-
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- Ambulatory Surgical Clinic/Center
- Lancaster, CA
- NPI 1174258602
-
- Rehabilitation Hospital Unit
- Palmdale, CA
- NPI 1033109947
-
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
-
- Critical Access Hospital
- Ridgecrest, CA
- NPI 1447253125
Emergency Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Tehachapi, CA
- NPI 1275538530
-
- General Acute Care Hospital
- Lancaster, CA
- NPI 1366419517
-
- General Acute Care Hospital
- Palmdale, CA
- NPI 1508856535
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.