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PAWAN KUMAR MD
NPI 1972541829
Internal Medicine - Endocrinology, Diabetes & Metabolism in Tulare, CA

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
591 E MERRITT AVE, TULARE, CA 93274(559) 697-6757(559) 697-6757 Get Directions Write a Review

NPPES record last updated: July 6, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pawan Kumar Md NPPES

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

PAWAN KUMAR MD (NPI 1972541829) is an individual endocrinology, diabetes & metabolism provider in Tulare, California, licensed in California (A106658) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1972541829
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NamePAWAN KUMARCredential: MD
Location Address591 E MERRITT AVETulare, CA 93274-2172
Mailing Address591 E Merritt AveTulare, CA 93274-2172 · (559) 697-6757 · Fax (559) 697-6757
Phone(559) 697-6757
Fax(559) 697-6757
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJune 3, 2006
Last NPPES UpdateJuly 6, 2009
✔ NPI 1972541829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in CA · A106658✔ Licensed in NM · MD2005-0818
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.
591 E MERRITT AVE, Tulare, CA 93274
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Other Identifiers 3

Medicare UPINI53963
Medicaid45280282NM
Medicare PIN346619503

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

Pawan 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 ID9335152594
PECOS Enrollment IDI20090831000217
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 2

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.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
69 services30 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
24 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93274 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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
19 suppliers129 claims254 services$5.10 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers19 claims19 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
3 suppliers13 claims14 services$171.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Pawan Kumar's NPI number?

The NPI number for Pawan Kumar is 1972541829. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Pawan Kumar located?

Pawan Kumar practices at 591 E Merritt Ave, Tulare, CA 93274. The listed phone number is (559) 697-6757.

What is Pawan Kumar's specialty?

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

Is Pawan Kumar enrolled in Medicare?

Yes. Pawan 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 Pawan Kumar was last updated on July 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.