DR. DINESH KUMAR MD
NPI 1942239306
Internal Medicine - Interventional Cardiology in Tustin, CA

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
53.3/100
CMS Quality Rating
1101 BRYAN AVE STE E, TUSTIN, CA 92780(714) 617-5163(714) 617-5786 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2021, Sep 30, 2020, Mar 4, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Dinesh Kumar Md NPPES

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

DR. DINESH KUMAR MD (NPI 1942239306) is an individual interventional cardiology provider in Tustin, California, licensed in California (A84090) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1942239306
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. DINESH KUMARCredential: MD
Location Address1101 BRYAN AVE STE ETustin, CA 92780-4401
Mailing AddressPo Box 50966Irvine, CA 92619-0966 · (714) 617-5163 · Fax (714) 617-5786
Fax(714) 617-5786
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 30, 2006
Last NPPES UpdateApril 23, 20215 updates tracked since enumeration
NPPES CertifiedApril 23, 2021
NPI 1942239306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in CA · A84090
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License A84090 (CA)
1101 BRYAN AVE STE E, Tustin, CA 92780

Other Identifiers 1

Medicaid1092541LA

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. Dinesh 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 ID7810904893
PECOS Enrollment IDI20110405000708
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 37

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 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.
3,639 services628 patients
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.
1,668 services75 patients
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.
1,299 services1,072 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
982 services147 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.
892 services743 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
886 services686 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92780 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

53.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality69.18
Improvement Activities0
Cost52.09

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Interventional Cardiology)
1101 BRYAN AVE STE E
TUSTIN, CA 92780
Internal Medicine (Pulmonary Disease)
1101 BRYAN AVE STE E
TUSTIN, CA 92780
Internal Medicine (Pulmonary Disease)
1101 BRYAN AVE STE E
TUSTIN, CA 92780

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 Dinesh Kumar's NPI number?

The NPI number for Dinesh Kumar is 1942239306. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Dinesh Kumar located?

Dinesh Kumar practices at 1101 Bryan Ave Ste E, Tustin, CA 92780. The listed phone number is (714) 617-5163.

What is Dinesh Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Dinesh Kumar enrolled in Medicare?

Yes. Dinesh 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.

When was this NPI record last updated?

The NPPES record for Dinesh Kumar was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.