Kumkum Sarkar Patel, MD, MPH - Medicare Gastroenterology in Fullerton, CA

Kumkum Sarkar Patel, MD, MPH is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Fullerton, California. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Providence Medical Foundation and her current practice location is 1837 Sunny Crest Dr, Fullerton, California. You can reach out to her office (for appointments etc.) via phone at (714) 446-5831.

Kumkum Sarkar Patel is licensed to practice in California (license number A163386) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003178138.

Contact Information

Kumkum Sarkar Patel, MD, MPH
1837 Sunny Crest Dr,
Fullerton, CA 92835-3616
(714) 446-5831
Not Available

Map and Direction




Physician's Profile

Full NameKumkum Sarkar Patel
GenderFemale
SpecialityGastroenterology
Experience12 Years
Location1837 Sunny Crest Dr, Fullerton, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kumkum Sarkar Patel graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1003178138
  • Provider Enumeration Date: 06/14/2012
  • Last Update Date: 11/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5799085742
  • Enrollment ID: I20201005000405

Medical Identifiers

Medical identifiers for Kumkum Sarkar Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003178138NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 036137725 (Illinois)Secondary
207RG0100XInternal Medicine - Gastroenterology A163386 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Jude Medical CenterFullerton, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Foundation89219932051293

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kumkum Sarkar Patel allows following entities to bill medicare on her behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameKumkum Patel Md Inc- A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174396048
PECOS PAC ID: 7618326802
Enrollment ID: O20231213002416

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kumkum Sarkar Patel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kumkum Sarkar Patel, MD, MPH
1837 Sunny Crest Dr,
Fullerton, CA 92835-3616

Ph: (714) 446-5831
Kumkum Sarkar Patel, MD, MPH
1837 Sunny Crest Dr,
Fullerton, CA 92835-3616

Ph: (714) 446-5831

Reviews and Comments


Internal Medicine Doctors in Fullerton, CA

Kiho Woo, M.D.
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Phone: 714-449-4800    Fax: 714-578-8629
Pius J. Kim, M.D.
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Yung Lyou, M.D., PH.D.
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Eugene Boston,
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Phone: 714-449-6990    
Saadah Alrajab, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 2501 E Chapman Ave Ste 225, Fullerton, CA 92831
Phone: 714-481-0172    Fax: 562-445-4140

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.