Pradeep Kumar, M.D.
NPI 1093790537 · Gastroenterology Physician · Austin, TX
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pradeep Kumar, M.D. is a Gastroenterology Physician provider in Austin, TX (NPI 1093790537).
Provider details
- NPI number
- 1093790537
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- J2268 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
616 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 143 | $90 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 103 | $247 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 60 | $112 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 52 | $81 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 52 | $179 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 243 | 90 |
| Dicyclomine Hcl | 95 | 39 |
| Nortriptyline Hcl | 72 | 23 |
| Pantoprazole Sodium | 67 | 20 |
| Linaclotidebrand: Linzess | 65 | 21 |
| Lipase/Protease/Amylasebrand: Creon | 65 | 18 |
| Dexlansoprazolebrand: Dexlansoprazole Dr | 45 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$17,193 across 109 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
Registry dates
- Enumerated
- 2005-12-07
- Last updated
- 2009-11-13
Frequently asked questions
- What is Pradeep Kumar's NPI number?
- Pradeep Kumar's National Provider Identifier (NPI) is 1093790537, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pradeep Kumar's specialty?
- Pradeep Kumar is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Pradeep Kumar located?
- Pradeep Kumar's practice location on file with NPPES is 4310 James Casey St, Austin, TX 78745-1120.
- What is Pradeep Kumar's phone number?
- The practice phone number listed in the NPPES registry for Pradeep Kumar is (512) 448-4588.
- Does Pradeep Kumar accept Medicare?
- Pradeep Kumar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pradeep Kumar's NPI active?
- Yes — Pradeep Kumar's NPI (1093790537) is active in the NPPES registry as of the last update on 2009-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.