DR. MONICA PRAVEENA KUMAR MD
NPI 1629572904
Student in an Organized Health Care Education/Training Program in Bakersfield, CA
NPI Status: Active since March 21, 2018
Contact Information
CLINICA SIERRA VISTA/EAST NILES COMMUNITY HEALTH CENTER
7800 NILES STREET
BAKERSFIELD, CA
ZIP 93306
Phone: (661) 328-4284
Fax: (661) 616-9977
- Individual
- Female
- Years of Experience 8
- Student in an Organized Health Care Educ...
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MONICA KUMAR
This page provides the complete NPI Profile along with additional information for Monica Kumar, a primary care provider established in Bakersfield, California with a medical specialization in Student In An Organized Health Care Education/training Program and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1629572904 assigned on March 2018. The practitioner's primary taxonomy code is 390200000X with license number PTL154 (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1629572904
- Provider Name
- DR. MONICA PRAVEENA KUMAR MD
- Other Name
- DR. MONICA PRAVEENA IRUTHIA KUMAR MD
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- CLINICA SIERRA VISTA/EAST NILES COMMUNITY HEALTH CENTER 7800 NILES STREET BAKERSFIELD, CA 93306
- Location Phone
- (661) 328-4284
- Location Fax
- (661) 616-9977
- Mailing Address
- 1100 W TEHACHAPI BLVD TEHACHAPI, CA 93561
- Mailing Phone
- (661) 635-3050
- Mailing Fax
- (661) 616-9977
- Medical School Name
- OTHER
- Graduation Year
- 2018
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-21-2018
- Last Update Date
- 12-15-2021
- Code Navigator
A primary care provider (PCP) like Monica Kumar sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License No.
- PTL154
- License State
- CA
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | A173428 (CA) |
Medicare Participation & PECOS Enrollment Status
Monica Kumar is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Monica Kumar is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8820410798
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20211112002231
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 2 | 9 | 5 | 7 | 2 | 9 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 10 | 7 | 4 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 1 + 0 + 7 + 4 + 9 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1629572904 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629572904, enumerated as an "individual" on March 21, 2018.
The provider is located at CLINICA SIERRA VISTA/EAST NILES COMMUNITY HEALTH CENTER 7800 NILES STREET BAKERSFIELD, CA 93306 and the phone number is (661) 328-4284.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
