Doctor profile · Federal record
Dr. Rashmi Kumar, MD
Gastroenterology Physician (CMS: Gastroenterology) · Internal Medicine Physician · Gastroenterology Physician · Irvine, CA
- NPI 1396007068
- Accepts Medicare
- MIPS 86.7 / 100 · 2023
- 19 yrs in practice
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
16405 Sand Canyon Ave Ste 280
Irvine, CA 926183792
(949) 557-0251 - Additional location
-
1441 N 12Th St Fl 2
Phoenix, AZ 850062837
(602) 521-5180
Credentials & registration
- NPI registered
- June 2012 — 14 yrs on file
- Profile last updated
- February 27, 2024
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State licenses (3)
- California #A137822 · Arizona #R73466 · Arizona #56483
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396007068. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
161
Distinct HCPCS
9
Medicare allowed
$19,522
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 29 | 21 | $80 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 25 | 25 | $130 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 22 | 22 | $96 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | 18 | $97 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 16 | 13 | $97 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 13 | 13 | $247 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 13 | 13 | $188 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 13 | 11 | $60 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 11 | 11 | $183 |
In context: peer comparison
Among 8 peers in Irvine Gastroenterology Physician, average services per provider: 89. This provider delivers 1.8× the peer median.Open Payments
Industry payments received
All-time total
$39,468
Transactions
102
Manufacturers
9
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Biotech, INC. | 42 | $34,878.99 | |
| Pfizer INC. | 11 | $3,458.75 | |
| Abbvie INC. | 25 | $605.11 | |
| Takeda Pharmaceuticals U.S.A., INC. | 8 | $153.31 | |
| Lilly USA, LLC | 6 | $141.00 | |
| Celltrion USA INC. | 3 | $87.91 | |
| Celgene Corporation | 5 | $87.06 | |
| Genzyme Corporation | 1 | $39.97 | |
| Braintree Laboratories, INC. | 1 | $16.29 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
72
Patients
0
Total drug cost
$352,083
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 19 | 0 | $228 |
| Prednisone | Generic | 17 | 0 | $49 |
| Mesalamine | Generic | 13 | 0 | $7,783 |
| Stelara (Ustekinumab) | Brand | 12 | 0 | $337,685 |
| Trulance (Plecanatide) | Brand | 11 | 0 | $6,338 |
Hospital affiliations
Frequently asked questions
What is Dr. Rashmi Kumar's medical specialty?
Dr. Rashmi Kumar practices Gastroenterology Physician in Irvine, CA.
Where does Dr. Rashmi Kumar practice?
Dr. Rashmi Kumar practices at 16405 Sand Canyon Ave Ste 280, Irvine, CA 926183792. Office phone: 9495570251.
What is Dr. Rashmi Kumar's NPI?
Dr. Rashmi Kumar's National Provider Identifier (NPI) is 1396007068, issued by NPPES.
Does Dr. Rashmi Kumar accept Medicare assignment?
Yes. Dr. Rashmi Kumar accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Rashmi Kumar commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Biopsy of large bowel using a flexible endoscope (HCPCS 45380). Source: CMS Medicare Physician & Other Practitioners file.