DR. PRADEEP KUMAR M.D.
NPI 1093790537
Internal Medicine - Gastroenterology in Austin, TX

Q: What is Pradeep Kumar's NPI number?

The NPI number for Pradeep Kumar is 1093790537. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Q: What is Pradeep Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Pradeep Kumar was last updated on November 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment

79.43/100

CMS Quality Rating

4310 JAMES CASEY ST, SUITE 4A, AUSTIN, TX 78745(512) 448-4588(512) 445-4511 Get Directions Write a Review

NPPES record last updated: November 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Pradeep Kumar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRADEEP KUMAR M.D. (NPI 1093790537) is an individual gastroenterology provider in Austin, Texas, licensed in Texas (J2268) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St David's South Austin Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1991).

NPPES Registry Identity

NPI1093790537

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. PRADEEP KUMARCredential: M.D.

Location Address4310 JAMES CASEY ST, SUITE 4AAustin, TX 78745-1120

Mailing AddressPo Box 10597Austin, TX 78766-1597 · (512) 485-5878 · Fax (512) 420-0397

Phone(512) 448-4588

Fax(512) 445-4511

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1991

Enumeration DateDecember 7, 2005

Last NPPES UpdateNovember 13, 2009

✔ NPI 1093790537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TX · J2268

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

4310 JAMES CASEY ST, Austin, TX 78745

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Other Identifiers 3

Medicare UPINF83004TX

Medicare PIN8J0641TX

Medicare PIN8B5153TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pradeep Kumar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880689017

PECOS Enrollment IDI20040417000183

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

143 services113 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

103 services102 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

60 services60 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

52 services51 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

52 services52 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

42 services42 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

31 services31 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

30 services24 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

29 services29 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

26 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

26 services24 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

22 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number450713

Location901 West Ben White BlvdAustin, TX 78704 · Travis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78745 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

52.61

Promoting Interoperability

100

Improvement Activities

Cost

78.84

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUSTIN ENDOSCOPY CENTER II, LP

Clinic/Center (Ambulatory Surgical)

4310 JAMES CASEY ST, 4B
AUSTIN, TX 78745

Travis County (512) 532-8000

FLETCHER DOUGLAS SRYGLEY IV MD

Internal Medicine (Gastroenterology)

4310 JAMES CASEY ST, STE. 4A
AUSTIN, TX 78745

Travis County (512) 448-4588

MRS. EMILY NUNLEY HARDING EMILY HARDING, PA-C

Physician Assistant

4310 JAMES CASEY ST
AUSTIN, TX 78745

Travis County (512) 448-4588

MS. SHEILA C REDDY M.D.

Internal Medicine (Gastroenterology)

4310 JAMES CASEY ST, STE 4-A
AUSTIN, TX 78745

Travis County (512) 448-4588

DR. BENJAMIN DAVID HAVEMANN M.D.

Internal Medicine (Gastroenterology)

4310 JAMES CASEY ST, STE. 4A
AUSTIN, TX 78745

Travis County (512) 448-4588

MICHELLE BROCK FNP

Nurse Practitioner (Family)

4310 JAMES CASEY ST
AUSTIN, TX 78745

Travis County (512) 532-8000

GORDON P. MARSHALL M.D.

Orthopaedic Surgery

4310 JAMES CASEY ST, SUITE 3C
AUSTIN, TX 78745

Travis County (512) 326-2800

MRS. YULIA A LYUBOSLAVSKY APN, ACNS-BC

Clinical Nurse Specialist (Adult Health)

4310 JAMES CASEY ST
AUSTIN, TX 78745

Travis County (512) 448-4588

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pradeep Kumar's NPI number?

The NPI number for Pradeep Kumar is 1093790537. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Pradeep Kumar located?

Pradeep Kumar practices at 4310 James Casey St Suite 4A, Austin, TX 78745. The listed phone number is (512) 448-4588.

What is Pradeep Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Pradeep Kumar enrolled in Medicare?

Yes. Pradeep Kumar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Pradeep Kumar affiliated with any hospitals?

According to CMS data, Pradeep Kumar is affiliated with St David's South Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Pradeep Kumar was last updated on November 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.