SAMUEL PREM KUMAR MD
NPI 1629050430
Internal Medicine - Cardiovascular Disease in Riverside, CA

Q: What is Samuel Kumar's NPI number?

The NPI number for Samuel Kumar is 1629050430. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Q: What is Samuel Kumar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Kumar was last updated on March 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since November 17, 2005PECOS Enrolled

7117 BROCKTON AVE, RIVERSIDE, CA 92506(951) 782-3644(951) 784-3267 Get Directions Write a Review

NPPES record last updated: March 17, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Samuel Prem Kumar Md NPPES

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

SAMUEL PREM KUMAR MD (NPI 1629050430) is an individual cardiovascular disease provider in Riverside, California, licensed in California (C42476) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629050430

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameSAMUEL PREM KUMARCredential: MD

Location Address7117 BROCKTON AVERiverside, CA 92506-2615

Mailing Address3660 Arlington AveRiverside, CA 92506-3912 · (951) 782-3644 · Fax (951) 784-3267

Phone(951) 782-3644

Fax(951) 784-3267

Sole ProprietorNo

Enumeration DateNovember 17, 2005

Last NPPES UpdateMarch 17, 2009

✔ NPI 1629050430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in CA · C42476

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.

7117 BROCKTON AVE, Riverside, CA 92506

Open in Google Maps ↗

Other Identifiers 3

OtherZZZ31887ZGroup Site Number

Other1730180415Group Npi

Medicare ID-Type Unspecified00C424760

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Prem Kumar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Samuel Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverside Medical Clinic, Inc

Same address

Internal Medicine

7117 BROCKTON AVE
Riverside, CA 92506

Reassigned Medicare billing, California enrollment
349 clinicians in this Medicare group

NPI 1730180415 (951) 683-6370

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 92506 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

Reported Quality Measures

Clinical Information Reconciliation

For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.

11%477 patients1/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

99%118 patients4/55-star benchmark: 100%

Patient-Generated Health Data

Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.

4%604 patients

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…

99%604 patients4/55-star benchmark: 100%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

95%604 patients4/55-star benchmark: 100%

Request/Accept Summary of Care

89%442 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…

41%604 patients3/55-star benchmark: 75%

Send a Summary of Care

For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…

87%30 patients4/55-star benchmark: 100%

View, Download and Transmit (VDT)

During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.

35%604 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MIRIAM CHO M.D

Family Medicine (Geriatric Medicine)