Kumkum Patel, M.D., MPH
NPI 1003178138 · Gastroenterology Physician · Fullerton, CA
Kumkum Patel, M.D., MPH is a Gastroenterology Physician provider in Fullerton, CA (NPI 1003178138).
Provider details
- NPI number
- 1003178138
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., MPH
- Sex
- Female
- Sole proprietor
- No
- License
- 036137725 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
123 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 46 | $194 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 35 | $236 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 22 | $111 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 20 | $40 |
Typical Medicare-allowed amounts for these services range $40–$236 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Nortriptyline Hcl | 50 | 31 |
| Pantoprazole Sodium | 35 | 22 |
| Plecanatidebrand: Trulance | 14 | — |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-C | 13 | 13 |
| Linaclotidebrand: Linzess | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,169 across 30 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 5744 N Broadway StChicago, IL 60660-4302Phone: (312) 335-0180Fax: (773) 275-4679
Registry dates
- Enumerated
- 2012-06-14
- Last updated
- 2024-05-07
- Certified
- 2021-11-09
Frequently asked questions
- What is Kumkum Patel's NPI number?
- Kumkum Patel's National Provider Identifier (NPI) is 1003178138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kumkum Patel's specialty?
- Kumkum Patel is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Kumkum Patel located?
- Kumkum Patel's practice location on file with NPPES is 1837 Sunny Crest Dr, Fullerton, CA 92835-3616.
- What is Kumkum Patel's phone number?
- The practice phone number listed in the NPPES registry for Kumkum Patel is (714) 446-5831.
- Is Kumkum Patel's NPI active?
- Yes — Kumkum Patel's NPI (1003178138) is active in the NPPES registry as of the last update on 2024-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.