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ERICA KUMALA
NPI 1114468568
Family Medicine in Santa Rosa, CA

Active since March 18, 2017PECOS EnrolledAccepts Medicare Assignment
401 BICENTENNIAL WAY STE 285, SANTA ROSA, CA 95403(707) 393-4000 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2021, Jun 26, 2020, Mar 20, 2017 and 1 more (4 updates tracked since 2017).

About Erica Kumala NPPES

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

ERICA KUMALA (NPI 1114468568) is an individual family medicine provider in Santa Rosa, California, licensed in California (A166452) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Temple University School Of Medicine (2017).

NPPES Registry Identity

NPI1114468568
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameERICA KUMALA
Location Address401 BICENTENNIAL WAY STE 285Santa Rosa, CA 95403-2149
Mailing Address401 Bicentennial Way Ste 285Santa Rosa, CA 95403-2149 · (707) 393-4000
Phone(707) 393-4000
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2017
Enumeration DateMarch 18, 2017
Last NPPES UpdateDecember 17, 20214 updates tracked since enumeration
NPPES CertifiedJune 26, 2020
✔ NPI 1114468568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A166452
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
401 BICENTENNIAL WAY STE 285, Santa Rosa, CA 95403
Open in Google Maps ↗

Secondary Practice Location 1

Location 1707 N Alvernon Way Ste 101Tucson, AZ 85711-1830 · Phone (520) 694-8888

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erica Kumala 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 ID9032483946
PECOS Enrollment IDI20210331000887
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.

Medicare Billing Reassignment

Medicare enrollment records show Erica Kumala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
35 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

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 Erica Kumala's NPI number?

The NPI number for Erica Kumala is 1114468568. It was assigned to this individual provider in the NPPES registry on March 18, 2017.

Where is Erica Kumala located?

Erica Kumala practices at 401 Bicentennial Way Ste 285, Santa Rosa, CA 95403. The listed phone number is (707) 393-4000.

What is Erica Kumala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Erica Kumala enrolled in Medicare?

Yes. Erica Kumala 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.

Which organization bills Medicare for Erica Kumala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Kumala reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erica Kumala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Erica Kumala was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.