Pratima Vijay Kumar, MD - Medicare Endocrinology in Austin, TX

Pratima Vijay Kumar, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Austin, Texas. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Endocrinology. She is a member of the group practice Seton Family Of Doctors and her current practice location is 601 E 15th St, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 324-7000.

Pratima Vijay Kumar is licensed to practice in Texas (license number K8781) 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 1972558658.

Contact Information

Pratima Vijay Kumar, MD
601 E 15th St,
Austin, TX 78701-1930
(512) 324-7000
(512) 324-8021

Map and Direction




Physician's Profile

Full NamePratima Vijay Kumar
GenderFemale
SpecialityEndocrinology
Experience29 Years
Location601 E 15th St, Austin, Texas
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:
  • Pratima Vijay Kumar graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1972558658
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 11/26/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5890750939
  • Enrollment ID: I20050225000615

Medical Identifiers

Medical identifiers for Pratima Vijay Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972558658NPI-NPPES
031063304MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism K8781 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dell Seton Med Center At The University Of TxAustin, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Seton Family Of Doctors0941333280663

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. Pratima Vijay Kumar allows following entities to bill medicare on her behalf.
Entity NameSeton Family Of Doctors
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588997233
PECOS PAC ID: 0941333280
Enrollment ID: O20100806000260

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. Pratima Vijay 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
Pratima Vijay Kumar, MD
601 E 15th St,
Austin, TX 78701-1930

Ph: (512) 324-7000
Pratima Vijay Kumar, MD
601 E 15th St,
Austin, TX 78701-1930

Ph: (512) 324-7000

Reviews and Comments


Internal Medicine Doctors in Austin, TX

Dr. Tatiana B. Jacobson, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 5656 Bee Caves Rd. Bldg C Ste. 102, Austin, TX 78746
Phone: 512-323-5465    Fax: 512-327-1390
Preeti Venkatraman, M.B.B.S.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 601 E 15th St, Austin, TX 78701
Phone: 512-324-7000    
Pritesh Harish Gandhi, M.D., M.P.H.
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 1101 Camino La Costa, Austin, TX 78752
Phone: 512-684-1832    
Dr. Joshua Lane Davis, D.O.
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 1004 W 32nd St Unit 300, Austin, TX 78705
Phone: 512-324-3440    
Dr. Analicia Alvarado, MD
Endocrinology, Diabetes & Metabolism
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Red River St, Austin, TX 78701
Phone: 512-324-7000    
Dr. Grace Marie Grant-jennings, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 7000 North Mopac, Suite # 420, Austin, TX 78731
Phone: 512-482-0045    Fax: 512-476-9892
Dr. Debra Ann Patt, MD, MPH
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 6204 Balcones Dr, Austin, TX 78731
Phone: 512-427-9400    Fax: 512-342-2723

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.