DR. GAURAV KUMAR M.D
NPI 1598796369
Internal Medicine - Cardiovascular Disease in Tulsa, OK

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
91.24/100
CMS Quality Rating
1923 S UTICA AVE, TULSA, OK 74104(918) 748-7650(918) 403-6341 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gaurav Kumar M.d NPPES

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

DR. GAURAV KUMAR M.D (NPI 1598796369) is an individual cardiovascular disease provider in Tulsa, Oklahoma, licensed in Oklahoma (25195) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hillcrest Hospital Claremore, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1598796369
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. GAURAV KUMARCredential: M.D
Location Address1923 S UTICA AVETulsa, OK 74104-6520
Mailing Address1923 S Utica AveTulsa, OK 74104-6520 · (918) 748-7650 · Fax (918) 403-6341
Fax(918) 403-6341
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 6, 2006
Last NPPES UpdateMarch 8, 2018
NPI 1598796369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in OK · 25195
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedSpecialistTaxonomy 174400000X · License 25195 (OK)
1923 S UTICA AVE, Tulsa, OK 74104

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

Dr. Gaurav 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 ID5597778415
PECOS Enrollment IDI20060727000039
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 28

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
682 services616 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.
678 services372 patients
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.
277 services71 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
149 services125 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
140 services131 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
108 services104 patients

Hospital Affiliations CMS Care Compare 5

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

Hillcrest Hospital Claremore

Acute Care Hospitals · Claremore, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370039
Location1202 N Muskogee PlaceClaremore, OK 74017 · Rogers County
Emergency services Birthing friendly

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

St John Owasso

Acute Care Hospitals · Owasso, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number370227
Location12451 East 100th Street NorthOwasso, OK 74055 · Tulsa County
Emergency services Birthing friendly

Ascension St John Broken Arrow

Acute Care Hospitals · Broken Arrow, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370235
Location1000 West Boise CircleBroken Arrow, OK 74012 · Tulsa County
Emergency services

Ascension St John Sapulpa

Critical Access Hospitals · Sapulpa, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number371312
Location1004 East BryanSapulpa, OK 74066 · Creek County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
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.

91.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.13
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
1923 S UTICA AVE
TULSA, OK 74104
Pathology (Anatomic Pathology & Clinical Pathology)
1923 S UTICA AVE
TULSA, OK 74104
Clinic/Center (Urgent Care)
1923 S UTICA AVE, DAVIS TOWER 200
TULSA, OK 74104
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1923 S UTICA AVE
TULSA, OK 74104
Pathology (Anatomic Pathology & Clinical Pathology)
1923 S UTICA AVE
TULSA, OK 74104
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1923 S UTICA AVE
TULSA, OK 74104
Nurse Anesthetist, Certified Registered
1923 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner
1923 S UTICA AVE
TULSA, OK 74104

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 Gaurav Kumar's NPI number?

The NPI number for Gaurav Kumar is 1598796369. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Gaurav Kumar located?

Gaurav Kumar practices at 1923 S Utica Ave, Tulsa, OK 74104. The listed phone number is (918) 748-7650.

What is Gaurav Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Gaurav Kumar enrolled in Medicare?

Yes. Gaurav 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 Gaurav Kumar accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and Mending Health list Gaurav 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.

Is Gaurav Kumar affiliated with any hospitals?

According to CMS data, Gaurav Kumar is affiliated with Hillcrest Hospital Claremore, Ascension St John Medical Center, St John Owasso, Ascension St John Broken Arrow and Ascension St John Sapulpa.

When was this NPI record last updated?

The NPPES record for Gaurav Kumar was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.