Pooja Kumar, MD - Medicare Pediatrics in Turlock, CA

Pooja Kumar, MD is a medicare enrolled "Pediatrics" physician in Turlock, California. Her current practice location is 1100 Delbon Ave, Turlock, California. You can reach out to her office (for appointments etc.) via phone at (866) 682-4842.

Pooja Kumar is licensed to practice in California (license number A176594) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962063743.

Contact Information

Pooja Kumar, MD
1100 Delbon Ave,
Turlock, CA 95382-2021
(866) 682-4842
Not Available

Map and Direction




Physician's Profile

Full NamePooja Kumar
GenderFemale
SpecialityPediatrics
Location1100 Delbon Ave, Turlock, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962063743
  • Provider Enumeration Date: 06/24/2019
  • Last Update Date: 04/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012398852
  • Enrollment ID: I20220725003032

Medical Identifiers

Medical identifiers for Pooja Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962063743NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A176594 (California)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Pooja Kumar allows following entities to bill medicare on her behalf.
Entity NameGolden Valley Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356445753
PECOS PAC ID: 4183527187
Enrollment ID: O20040128000641

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. Pooja Kumar 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
Pooja Kumar, MD
1185 W Mountain View Rd Apt 3412,
Johnson City, TN 37604-2546

Ph: (917) 826-0937
Pooja Kumar, MD
1100 Delbon Ave,
Turlock, CA 95382-2021

Ph: (866) 682-4842

Reviews and Comments


Pediatrics Doctors in Turlock, CA

Myleen Basa Baluyot, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3100 W Christoffersen Pkwy, Turlock, CA 95382
Phone: 209-521-6097    
Marilou Orpilla Ostrea, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3100 West Christoffersen Parkway, Turlock, CA 95382
Phone: 209-632-3901    
Jeffrey Dean Kingsley, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 825 Delbon Ave, Turlock, CA 95382
Phone: 209-664-5065    Fax: 209-664-5067
Dr. Abilash Jaganathan, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1100 Delbon Ave, Turlock, CA 95382
Phone: 866-682-4842    Fax: 209-667-0922
Marina L. Apellanes, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3100 W Christoffersen Pkwy, Turlock, CA 95382
Phone: 209-632-3901    
Dr. Krishan Goel, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1100 Delbon Ave, Turlock, CA 95382
Phone: 209-667-0905    Fax: 209-667-0922
Manpreet Bains, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1015 E Main St, Turlock, CA 95380
Phone: 209-632-3901    

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.