1. Home
  2. Directory
  3. Arizona
  4. Yuma
  5. Hospitalist
  6. NPI Profile

PIRKASH KUMAR M.D
NPI 1558711515
Hospitalist in Yuma, AZ

Active since June 20, 2016PECOS Enrolled
82.37/100
CMS Quality Rating
2400 S AVENUE A, YUMA, AZ 85364(928) 344-2400 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2026, Dec 9, 2024, Jun 20, 2016 (3 updates tracked since 2016).

About Pirkash Kumar M.d NPPES

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

PIRKASH KUMAR M.D (NPI 1558711515) is an individual hospitalist provider in Yuma, Arizona, licensed in Arizona (57733) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Waterbury, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1558711515
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePIRKASH KUMARCredential: M.D
Location Address2400 S AVENUE AYuma, AZ 85364-7170
Mailing Address2400 S Avenue AYuma, AZ 85364-7170 · (928) 344-2000
Phone(928) 344-2400
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 20, 2016
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1558711515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in AZ · 57733✔ Licensed in CA · C210447
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
2400 S AVENUE A, Yuma, AZ 85364
Open in Google Maps ↗

Secondary Practice Location 1

Location 156 Franklin StWaterbury, CT 06706-1253 · Phone (203) 709-6424

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pirkash Kumar M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325332166
PECOS Enrollment IDI20190719002619, I20240509004108
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 Pirkash Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Galen Inpatient Physicians Inc.
135 mi
Internal Medicine
1150 N INDIAN CANYON DR
Palm Springs, CA 92262
  • Reassigned Medicare billing, California enrollment
  • 962 clinicians in this Medicare group
NPI 1316037021 (760) 323-6511

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

Areas of Expertise CMS Part B claims 4

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.

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.
382 services177 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
191 services185 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85364 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

82.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.57
Promoting Interoperability100
Improvement Activities40
Cost57.66

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$17.44 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$88.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BRIANNE ALLEN MA - CCC/SLP
Speech-Language Pathologist
2400 S AVENUE A
YUMA, AZ 85364
Yuma County (928) 336-1631
DR. INA KIM MD
Emergency Medicine
2400 S AVENUE A
YUMA, AZ 85364
Yuma County (702) 853-3561
CANDRA AIYANA LAND REGISTERED DIETITIAN
Dietitian, Registered
2400 S AVENUE A
YUMA, AZ 85364
Yuma County (928) 336-2000
SANTWANA VINAYAK SOVANI MD
Anesthesiology
2400 S AVENUE A
YUMA, AZ 85364
Yuma County (928) 344-2000
ASHVIN K SHAH M.D.
Internal Medicine (Sleep Medicine)
2400 S AVENUE A
YUMA, AZ 85364
Yuma County (928) 336-3213
ASHISH SHARMA M.D.
Hospitalist
2400 S AVENUE A, YUMA REGIONAL MEDICAL CENTER
YUMA, AZ 85364
Yuma County (928) 336-3213
KORI DELLINGER AGACNP
Nurse Practitioner (Acute Care)
2400 S AVENUE A
YUMA, AZ 85364
Yuma County (505) 328-4579
DR. ROBERT W. GOODWILLIE PHARMD
Pharmacist (Pharmacotherapy)
2400 S AVENUE A
YUMA, AZ 85364
Yuma County (928) 336-7037

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 Pirkash Kumar's NPI number?

The NPI number for Pirkash Kumar is 1558711515. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Pirkash Kumar located?

Pirkash Kumar practices at 2400 S Avenue A, Yuma, AZ 85364. The listed phone number is (928) 344-2400.

What is Pirkash Kumar's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Pirkash Kumar enrolled in Medicare?

Yes. Pirkash Kumar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pirkash Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pirkash Kumar reassigns Medicare benefits to Galen Inpatient Physicians Inc. (Palm Springs, 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 Pirkash Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pirkash Kumar accept?

Health plans from Blue Cross Blue Shield of Arizona list Pirkash Kumar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pirkash Kumar was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.