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VIPUL KUMAR MD/PHD
NPI 1992266118
Internal Medicine in San Francisco, CA

Active since March 29, 2019PECOS Enrolled
1001 POTRERO AVE. BUILDING 5, 4C, SAN FRANCISCO, CA 94110(628) 206-2407 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 9, 2025, Dec 4, 2025 (2 updates tracked since 2025).

About Vipul Kumar Md/phd NPPES

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

VIPUL KUMAR MD/PHD (NPI 1992266118) is an individual internal medicine provider in San Francisco, California, licensed in California (A181139) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cambridge, and is a graduate of Harvard Medical School (2019).

NPPES Registry Identity

NPI1992266118
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVIPUL KUMARCredential: MD/PHD
Location Address1001 POTRERO AVE. BUILDING 5, 4CSan Francisco, CA 94110-3518
Mailing Address505 Parnassus AveSan Francisco, CA 94143-2204 · (415) 476-1000
Phone(628) 206-2407
Sole ProprietorYes
Medical School CMSHarvard Medical SchoolGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1992266118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A181139
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License A181139 (CA)
1001 POTRERO AVE. BUILDING 5, 4C, San Francisco, CA 94110
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Secondary Practice Location 1

Location 112 Ware St Apt 23Cambridge, MA 02138-4008 · Phone (856) 745-6629

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vipul Kumar Md/phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618371840
PECOS Enrollment IDI20260105000990
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 Reassignments

2

Medicare enrollment records show Vipul Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City & County Of San Francisco
Same address
General Acute Care Hospital
1001 POTRERO AVE, BUILDING 5, WARD 1B
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 1,573 clinicians in this Medicare group
NPI 1083648810 (415) 759-4067
University Of California Sfgh Medical Group
Same address
Hematology
1001 POTRERO AVENUE, BLDG 80 WARD 84
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1073836060 (California)
  • 78 clinicians in this Medicare group
NPI 1326013442 (628) 876-4082

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 94110 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.

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 Vipul Kumar's NPI number?

The NPI number for Vipul Kumar is 1992266118. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Vipul Kumar located?

Vipul Kumar practices at 1001 Potrero Ave. Building 5, 4C, San Francisco, CA 94110. The listed phone number is (628) 206-2407.

What is Vipul Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vipul Kumar enrolled in Medicare?

Yes. Vipul Kumar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vipul Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vipul Kumar reassigns Medicare benefits to 2 organizations: City & County Of San Francisco (San Francisco, CA) and University Of California Sfgh Medical Group (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vipul Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vipul Kumar was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.