DR. ASWATHI MOHAN KUMAR MD
NPI 1801283767
Internal Medicine - Endocrinology, Diabetes & Metabolism in Pleasanton, CA

Q: What is Aswathi Kumar's NPI number?

The NPI number for Aswathi Kumar is 1801283767. It was assigned to this individual provider in the NPPES registry on April 18, 2015.

Q: What is Aswathi Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Aswathi Kumar was last updated on August 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 18, 2015PECOS EnrolledAccepts Medicare Assignment

5568 GIBRALTAR DR, PLEASANTON, CA 94588(925) 534-6500 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2023, Feb 28, 2022, Jun 14, 2021 and 2 more (5 updates tracked since 2018).

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About Dr. Aswathi Mohan Kumar Md NPPES

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

DR. ASWATHI MOHAN KUMAR MD (NPI 1801283767) is an individual endocrinology, diabetes & metabolism provider in Pleasanton, California, licensed in California (A169772) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2015).

NPPES Registry Identity

NPI1801283767

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameDR. ASWATHI MOHAN KUMARCredential: MD

Location Address5568 GIBRALTAR DRPleasanton, CA 94588-8544

Mailing Address5568 Gibraltar DrPleasanton, CA 94588-8544 · (925) 534-6500

Phone(925) 534-6500

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2015

Enumeration DateApril 18, 2015

Last NPPES UpdateAugust 15, 20235 updates tracked since enumeration

NPPES CertifiedAugust 15, 2023

✔ NPI 1801283767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Licenses✔ Licensed in CA · A169772✔ Licensed in MO · 2018015701

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License A169772 (CA), BP10052909 (TX)

5568 GIBRALTAR DR, Pleasanton, CA 94588

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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. Aswathi Mohan Kumar Md 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 ID1355770819

PECOS Enrollment IDI20200820002661

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.

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.

130 services91 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

59 services59 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94588 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

29 suppliers77 claims261 services$5.50 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers15 claims28 services$0.89 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

8 suppliers138 claims138 services$198.44 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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