Kumara Prathipati, M.D.
NPI 1538267778 · Internal Medicine Physician · National City, CA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kumara Prathipati, M.D. is a Internal Medicine Physician provider in National City, CA (NPI 1538267778).
Provider details
- NPI number
- 1538267778
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A40438 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
50 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 35 | $137 |
| Assessment of and Care Planning for Patient With Impaired Thought Processing, Typically 60 Minutes99483 | 15 | $197 |
Typical Medicare-allowed amounts for these services range $137–$197 (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 · 73 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 413 | 136 |
| Atorvastatin Calcium | 391 | 132 |
| Losartan Potassium | 315 | 105 |
| Metformin Hcl | 290 | 89 |
| Hydralazine Hcl | 184 | 64 |
| Levothyroxine Sodium | 140 | 32 |
| Simvastatin | 121 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2014-07-28
Frequently asked questions
- What is Kumara Prathipati's NPI number?
- Kumara Prathipati's National Provider Identifier (NPI) is 1538267778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kumara Prathipati's specialty?
- Kumara Prathipati is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kumara Prathipati located?
- Kumara Prathipati's practice location on file with NPPES is 502 Euclid Ave, National City, CA 91950-2931.
- What is Kumara Prathipati's phone number?
- The practice phone number listed in the NPPES registry for Kumara Prathipati is (619) 267-0552.
- Does Kumara Prathipati accept Medicare?
- Kumara Prathipati is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kumara Prathipati's NPI active?
- Yes — Kumara Prathipati's NPI (1538267778) is active in the NPPES registry as of the last update on 2014-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.