Individual provider Active NPI

Pawan Kumar, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Tulare, CA
National Provider Identifier
1972541829
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A106658 Issued in CA
Practice address
591 E Merritt Ave
Tulare, CA 93274-2172
Phone
(559) 697-6757
Fax
(559) 697-6757
NPI assigned
Jun 3, 2006
Last updated
Jul 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD2005-0818 NM
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A106658 CA Primary

Addresses

Primary practice location

591 E Merritt Ave
Tulare, CA 93274-2172

Mailing address

591 E Merritt Ave
Tulare, CA 93274-2172
Phone (559) 697-6757

Other identifiers 1

IdentifierTypeStateIssuer
45280282MedicaidNM

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
I20090831000217 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 9335152594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of TulareGroup PAC ID 1456264555, 32 clinicians

Practice addresses (Care Compare)

2505 N Dinuba Blvd
Visalia, CA 93291-9003
Phone (559) 623-0690

2611 N Dinuba Blvd
Visalia, CA 93291-9003
Phone (559) 733-6342

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2005-0818NMMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Family Medical Group Inc CurrentSince Sep 30, 2016 Accepting new patients
County of Tulare Current Accepting new patients
County of Tulare CurrentSince Dec 23, 2012 Accepting new patients
County of Tulare CurrentSince Dec 23, 2012 Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients

Locations

4580 California Ave
Bakersfield, CA 93309
Phone (661) 327-4411

660 E Visalia Rd
Farmersville, CA 93223
Phone (559) 594-6788

2611 N Dinuba Blvd
Visalia, CA 93291
Phone (559) 623-0700

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: pawan.kumar.p1@direct.altura.nextgenshare.com
  • Direct secure messaging: pawan.kumar.p1@direct.bfmc.nextgenshare.com
  • Direct secure messaging: pawan.kumar.p8@direct.bfmc.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1972541829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 E MERRITT AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742172",
            "telephone_number": "559-697-6757",
            "fax_number": "559-697-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 E MERRITT AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742172",
            "telephone_number": "559-697-6757",
            "fax_number": "559-697-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "PAWAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NM",
            "license": "MD2005-0818",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A106658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45280282",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.