Rashmi Kumar, MD
Gastroenterology Physician · Irvine, CA
Rashmi Kumar, MD is a gastroenterology physician with a practice address in Irvine, California, and NPI 1396007068, issued on Jun 8, 2012. Check the license (California A137822, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Rashmi Kumar
- Credential
- MD
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License numbers
- A137822 CA
56483 AZ
R73466 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 16405 Sand Canyon Ave Ste 280, Irvine, CA 92618
- Phone
- (949) 557-0251
- Enumerated
- Jun 8, 2012
- Record last updated
- Feb 27, 2024
- Medicare enrollment
- Enrolled (PECOS I20230918002469); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 2,140 in California → Look up another NPI →
Also registered at 16405 Sand Canyon Ave Ste 280
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ziyad Jabaji, M.D.Colon & Rectal Surgery Physician1366760514
- Patrick LeeTransplant Hepatology Physician1013476126
- William Oh, M.D.Colon & Rectal Surgery Physician1598100323
Verify Rashmi Kumar in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license A137822Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
79% fewer Medicare Part D claims than the average gastroenterology physician in 2024
173 Medicare Part D claims for 61 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 27% of claims.
Most prescribed
- Mesalamine28 claims
- Sod Sulf-Potass Sulf-Mag Sulf21 claims
- Pantoprazole Sodium19 claims
- Omeprazole15 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 88.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $39,468.39
102 payments; by number, the most common kind was food and beverage; the largest payer was Janssen Biotech, Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Hoag ClinicNewport Beach, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Rashmi Kumar among 2,140 gastroenterology physician records in California
Rashmi Kumar, MD is one of 2,140 gastroenterology physician records with a practice address in California. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 77% of them.
- NPI issued2012 · 77% of these records are older, 20% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2007 · median 2002 among the 1,538 with a school on file
- Record last updated2024 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gastroenterology Physician providers in California
There are 2,140 gastroenterology physician records in California.
All 2,140 in California → Every provider in Irvine → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- Ardalan Babaknia, MDIrvine, CA 926181366527491
- Shahrooz BemanianIrvine, CA 926181629123070
- You-Jen Chou, MDIrvine, CA 926181104070887
- Lino Deguzman, M.D.Irvine, CA 926181346324720
- John Hoefs, MDIrvine, CA 926181154425742
- David Kaufman, D.O.Irvine, CA 926181508893363
- Herbert Lee, MDIrvine, CA 926181740206689
- Paul Lee, MDIrvine, CA 926181760531693
Common questions
What is Rashmi Kumar, MD's NPI number?
Rashmi Kumar, MD's National Provider Identifier (NPI) is 1396007068, issued on Jun 8, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Rashmi Kumar, MD located?
The NPPES record lists a practice address at 16405 Sand Canyon Ave Ste 280, Irvine, CA, 92618. Phone: (949) 557-0251. Providers update this record themselves, so call before visiting.
How can I verify Rashmi Kumar, MD's license?
NPPES lists California license number A137822, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Rashmi Kumar, MD prescribe under Medicare Part D?
In 2024, Rashmi Kumar, MD had 173 Medicare Part D claims for 61 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Rashmi Kumar, MD's MIPS final score?
The 2023 MIPS final score is 88.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.