Pratima Kumar, MD
NPI 1972558658 · Endocrinology, Diabetes & Metabolism Physician · Austin, TX
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pratima Kumar, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Austin, TX (NPI 1972558658).
Provider details
- NPI number
- 1972558658
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- K8781 (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
122 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 48 | $127 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 29 | $181 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 27 | $116 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 18 | $168 |
Typical Medicare-allowed amounts for these services range $116–$181 (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 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 118 | 40 |
| Dulaglutidebrand: Trulicity | 51 | 17 |
| Alendronate Sodium | 50 | 17 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 49 | 14 |
| Semaglutidebrand: Ozempic | 45 | 11 |
| Metformin Hcl | 30 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$107 across 6 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
- 2006-05-23
- Last updated
- 2012-11-26
Frequently asked questions
- What is Pratima Kumar's NPI number?
- Pratima Kumar's National Provider Identifier (NPI) is 1972558658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pratima Kumar's specialty?
- Pratima Kumar is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Pratima Kumar located?
- Pratima Kumar's practice location on file with NPPES is 601 E 15th St, Austin, TX 78701-1930.
- What is Pratima Kumar's phone number?
- The practice phone number listed in the NPPES registry for Pratima Kumar is (512) 324-7000.
- Does Pratima Kumar accept Medicare?
- Pratima Kumar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pratima Kumar's NPI active?
- Yes — Pratima Kumar's NPI (1972558658) is active in the NPPES registry as of the last update on 2012-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.