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

Active since June 20, 2016PECOS EnrolledAccepts Medicare Assignment
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: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, Jun 20, 2016 (2 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
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 20, 2016
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
NPI 1558711515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in AZ · 57733
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

Secondary Practice Location 1

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

Accepted Insurance

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

Pirkash 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 ID8325332166
PECOS Enrollment IDI20190719002619
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 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.

Speech-Language Pathologist
2400 S AVENUE A
YUMA, AZ 85364
Emergency Medicine
2400 S AVENUE A
YUMA, AZ 85364
Dietitian, Registered
2400 S AVENUE A
YUMA, AZ 85364
Anesthesiology
2400 S AVENUE A
YUMA, AZ 85364
Internal Medicine (Sleep Medicine)
2400 S AVENUE A
YUMA, AZ 85364
Hospitalist
2400 S AVENUE A, YUMA REGIONAL MEDICAL CENTER
YUMA, AZ 85364
Nurse Practitioner (Acute Care)
2400 S AVENUE A
YUMA, AZ 85364
Pharmacist (Pharmacotherapy)
2400 S AVENUE A
YUMA, AZ 85364

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.