PRIYA GOMATHI KUMARAVELU MD
NPI 1154514677
Internal Medicine - Medical Oncology in San Jose, CA

Active since August 20, 2007PECOS Enrolled
100/100
CMS Quality Rating
2589 SAMARITAN DR, SAN JOSE, CA 95124(650) 498-6000 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2026, Apr 27, 2017, Mar 4, 2016 (3 updates tracked since 2016).

About Priya Gomathi Kumaravelu Md NPPES

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

PRIYA GOMATHI KUMARAVELU MD (NPI 1154514677) is an individual medical oncology provider in San Jose, California, licensed in California (A100993) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Jose, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1154514677
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NamePRIYA GOMATHI KUMARAVELUCredential: MD
Location Address2589 SAMARITAN DRSan Jose, CA 95124-4102
Mailing Address2589 Samaritan DrSan Jose, CA 95124-4102
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 20, 2007
Last NPPES UpdateApril 1, 20263 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
NPI 1154514677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in CA · A100993
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301086299 (MI)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License A100993 (CA)
2589 SAMARITAN DR, San Jose, CA 95124

Secondary Practice Location 1

Location 1175 N Jackson Ave, Suite 209San Jose, CA 95116-1909 · Phone (408) 203-4945 · Fax (408) 516-9985

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Priya Gomathi Kumaravelu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274691183
PECOS Enrollment IDI20081022000131
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
371 services101 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
261 services63 patients
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.
156 services87 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
141 services125 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.
111 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95124 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
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost100

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Advance Care Plan 100% 795
Breast Cancer Screening 100% 505
Documentation of Current Medications in the Medical Record 100% 3030
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 955
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 100% 960

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Medical Oncology)
2589 SAMARITAN DR
SAN JOSE, CA 95124
Internal Medicine (Medical Oncology)
2589 SAMARITAN DR
SAN JOSE, CA 95124
Internal Medicine (Medical Oncology)
2589 SAMARITAN DR
SAN JOSE, CA 95124
Internal Medicine (Medical Oncology)
2589 SAMARITAN DR
SAN JOSE, CA 95124
Internal Medicine (Medical Oncology)
2589 SAMARITAN DR
SAN JOSE, CA 95124
Internal Medicine (Medical Oncology)
2589 SAMARITAN DR
SAN JOSE, CA 95124
Internal Medicine (Medical Oncology)
2589 SAMARITAN DR
SAN JOSE, CA 95124
Internal Medicine (Hematology)
2589 SAMARITAN DR
SAN JOSE, CA 95124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154514677, enumerated as an "individual" on August 20, 2007.

The provider is located at 2589 SAMARITAN DR SAN JOSE, CA 95124 and the phone number is (650) 498-6000.

Internal Medicine with taxonomy code 207RX0202X and a focus in Medical Oncology.