Rashmi Kumar, MD - Medicare Gastroenterology in Irvine, CA

Rashmi Kumar, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Irvine, California. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Hoag Clinic and her current practice location is 16405 Sand Canyon Ave Ste 280, Irvine, California. You can reach out to her office (for appointments etc.) via phone at (949) 557-0251.

Rashmi Kumar is licensed to practice in California (license number A137822) 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 1396007068.

Contact Information

Rashmi Kumar, MD
16405 Sand Canyon Ave Ste 280,
Irvine, CA 92618-3792
(949) 557-0251
Not Available

Map and Direction




Physician's Profile

Full NameRashmi Kumar
GenderFemale
SpecialityGastroenterology
Experience17 Years
Location16405 Sand Canyon Ave Ste 280, Irvine, 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:
  • Rashmi Kumar graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1396007068
  • Provider Enumeration Date: 06/08/2012
  • Last Update Date: 02/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0941579528
  • Enrollment ID: I20230918002469

Medical Identifiers

Medical identifiers for Rashmi Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396007068NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine R73466 (Arizona)Secondary
207RG0100XInternal Medicine - Gastroenterology 56483 (Arizona)Secondary
207RG0100XInternal Medicine - Gastroenterology A137822 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hoag Memorial Hospital PresbyterianNewport beach, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hoag Clinic3274872064329

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. Rashmi Kumar allows following entities to bill medicare on her behalf.
Entity NameHoag Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942799523
PECOS PAC ID: 3274872064
Enrollment ID: O20190221001936

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. Rashmi 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
Rashmi Kumar, MD
16405 Sand Canyon Ave Ste 280,
Irvine, CA 92618-3792

Ph: (949) 557-0251
Rashmi Kumar, MD
16405 Sand Canyon Ave Ste 280,
Irvine, CA 92618-3792

Ph: (949) 557-0251

Reviews and Comments


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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.