Individual provider Active NPI

Dinesh Kumar, MD

  • Interventional Cardiology Physician
  • Tustin, CA
National Provider Identifier
1942239306
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A84090 Issued in CA
Practice address
1101 Bryan Ave Ste E
Tustin, CA 92780-4401
Phone
(714) 617-5163
Fax
(714) 617-5786
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A84090 CA Primary
Cardiovascular Disease Physician 207RC0000X A84090 CA

Addresses

Primary practice location

1101 Bryan Ave Ste E
Tustin, CA 92780-4401

Mailing address

PO Box 50966
Irvine, CA 92619-0966
Phone (714) 617-5163

Other identifiers 1

IdentifierTypeStateIssuer
1092541MedicaidLA

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
I20110405000708 CA Practitioner - Cardiovascular Disease (Cardiology) 7810904893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1101 Bryan Ave
Suite E
Tustin, CA 92780-4401
Phone (714) 617-5163

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226
  • Orange County Global Medical Center Hospital, Santa Ana, CA, CCN 050746
  • Foothill Regional Medical Center Hospital, Tustin, CA, CCN 050780
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
59.34 of 100Reported as individual
Quality
69.33
Improvement activities
0
Cost
72.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23
Pacemaker insertion or repair12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200046LAMDAcupuncturist
A84090CAMDCardiovascular Disease Physician
003029NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents Current Accepting new patients
UC Regents Cardiovascular Disease CurrentSince Nov 1, 2016 Accepting new patients
Orange County Heart & Vascular Inc Interventional Cardiology CurrentSince Jan 31, 2018 Accepting new patients
UC Regents CurrentSince Nov 1, 2016 Accepting new patients
University of California Irvine Past Accepting new patients
Basko Dermatology LLC PastSince Nov 1, 2018 Accepting new patients
St. Francis Hospital Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Joseph a Franco, M.D. S.C. PastSince May 19, 2024 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Trustees Columbia University City Ny Center Interventional Vascular TH Interventional Cardiology Past Accepting new patients
University of California Irvine Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Willis Knighton Medical Center, Inc. Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1101 Bryan Ave
Ste E
Tustin, CA 92780
Phone (714) 352-5800

14642 Newport Ave
Ste 101
Tustin, CA 92780
Phone (714) 352-5800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://api.platform.athenahealth.com/21626/brand/2/csg/1/fhir/r4

Organizations & group practices 18

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 18

Hospital & facility affiliations 6

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1942239306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50966",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926190966",
            "telephone_number": "714-617-5163",
            "fax_number": "714-617-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BRYAN AVE STE E",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804401",
            "telephone_number": "714-617-5163",
            "fax_number": "714-617-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "DINESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A84090",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A84090",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1092541",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.