Dr. Rashmi Kumar, MD

  • Irvine, CA
  • Gastroenterologist
NPI1396007068PAC ID0941579528
Medicare services, 2024
235
Medicare patients, 2024
109
Part D claims, 2024
173
Publications
32
MIPS score, 2024
88
Practice address
16405 Sand Canyon Ave, Suite 110, Irvine, CA 92618
Practice phone
Call (949) 764-4448
Professional email
Get professional email
Personal email
Get personal email
Mobile number
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Social profiles

Primary practice

Hoag Endoscopy Center - Irvine

Surgery Center - Medicare-Certified · Irvine, California

See all 4 affiliations

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Dr. Rashmi Kumar is a gastroenterologist in Irvine, California

Dr. Kumar practices at Hoag Endoscopy Center - Irvine in Irvine, California.

Dr. Kumar's NPI, 1396007068, was assigned on June 8, 2012. Dr. Kumar graduated from Patna Medical College in 2007. Dr. Kumar's California license number on file is A137822.

NPI and contact details
Medicare PAC ID
0941579528
NPI enumeration date
June 8, 2012
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(949) 764-4448
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Female
Estimated age
45
Medical school graduation
2007

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Rashmi Kumar practices at Hoag Endoscopy Center - Irvine in Irvine, California

Dr. Kumar's primary practice is Hoag Endoscopy Center - Irvine, at 16405 Sand Canyon Ave, Suite 110, Irvine, CA 92618. The practice phone is (949) 764-4448.

  • Hoag Endoscopy Center - Irvine
    16405 Sand Canyon Ave, Suite 110, Irvine, CA 92618Phone(949) 764-4448

Source: Dmand AI Affiliation Data

Dr. Rashmi Kumar is affiliated with 3 sites of care and 1 medical group

Dr. Kumar's primary practice is Hoag Endoscopy Center - Irvine in Irvine, California. Dr. Kumar is also affiliated with Hoag Hospital Newport Beach. The medical group on file is Hoag Clinic. Dmand AI also links Dr. Kumar to 1 more group practice or clinic, named with a free account.

See all 4 affiliations for Dr. Kumar

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Rashmi Kumar's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Kumar practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Hoag Endoscopy Center - IrvineAvailable with a free account
+2 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Rashmi Kumar is one of 1,977 gastroenterologists in California

Gastroenterology is Dr. Kumar's primary specialty in the NPI Registry, under taxonomy code 207RG0100X. Dr. Kumar is board certified in gastroenterology by the American Board of Internal Medicine. Dmand AI has Dr. Kumar's licenses on file in 2 states: California and Arizona.

Specialties and state licenses

  • Gastroenterology, CaliforniaPrimaryLicense A137822 · 2015 to 2025 · taxonomy 207RG0100X
  • Internal medicine, ArizonaLicense R73466 · 2018 to 2024 · taxonomy 207R00000X

Clinical focus

Dmand AI lists acid reflux, chronic inflammatory bowel disease (IBD), colonoscopy, gastroenteritis and upper GI endoscopy among the conditions Dr. Kumar treats.

Gastroenterologists near Dr. Kumar

Counts of gastroenterologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Rashmi Kumar billed Medicare for 235 services in 2024

CMS data shows 235 Medicare services from Dr. Kumar across 9 procedure codes in 2024, for 109 Medicare patients. Medicare paid $22,668 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024235
Medicare patients109
Paid by Medicare$22,668
Procedure codes9

Dr. Kumar's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1072024: 17463%
Surgery
2023: 542024: 6113%

Dr. Kumar compared with the California median for gastroenterologists, 2024

  • Dr. Kumar
  • California median
Medicare services
235vs 58660% below
Medicare patients
109vs 30264% below
Part D claims
83vs 38078% below

Medians across 1,875 gastroenterologists in California with Dmand AI profiles that report each measure.

Dr. Kumar's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Kumar

Need commercial claims for Dr. Kumar?

Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Kumar and other gastroenterologists in California.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Rashmi Kumar treated 109 Medicare patients in 2024, average age 75

CMS counts 109 Medicare patients who saw Dr. Kumar in 2024. The largest group is 65 to 74, with 48 patients. 75% of them have high cholesterol, and 72% have high blood pressure. 15% are also on Medicaid. Their average risk score is 2.11, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Kumar's median patient age at 52, with 65% women.

Medicare patients, 2024109
Average age75
Average risk score2.11
Also on Medicaid15%

Dr. Kumar's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Kumar's Medicare patients by sex, 2024

  • Women7266%
  • Men3734%

Chronic conditions among Dr. Kumar's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure72%
  3. Arthritis54%
  4. Cancer33%
  5. Ischemic heart disease32%
  6. Mood disorders30%
  7. Anxiety28%
  8. Depression28%

Share of Medicare patients with each condition. A patient can have several.

Dr. Kumar's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 52

Patient panel by sex, all payers

  • Women65%
  • Men34%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Rashmi Kumar wrote 173 Medicare Part D claims in 2024

In 2024, Dr. Kumar wrote 173 Medicare Part D claims for 61 patients. 73% of them were for generic drugs. CMS names the drug for 83 of them, across 4 drugs with 11 or more claims each, at $17,933 in total drug cost. In 2023, CMS named 72 claims across 5 drugs.

Part D claims, 2024173
Drugs named by CMS4
Total drug cost$17,933
Part D patients61

Dr. Kumar's Part D claims by kind of drug, 2024

  • Generic126 claims73%
  • Brand-name47 claims27%

Dr. Kumar's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 722024: 8315%

Drugs named by CMS: 4 in 2024, 5 in 2023.

See all prescribing by Dr. Kumar

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Rashmi Kumar scored 88 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 88 out of 100 for Dr. Kumar for performance year 2024, reported as part of a group. Dr. Kumar accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Kumar as offering telehealth. CMS counts 51 procedures of colonoscopy by Dr. Kumar, more than 64% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Kumar's MIPS scores, performance year 2024

  • 88of 100Final score
  • 84.1of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 74of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Kumar ranks in Medicare procedure volume

Colonoscopy
64th percentile51 procedures
Upper gastrointestinal (GI) endoscopy for acid reflux
51st percentile22 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Rashmi Kumar has 32 publications on record

Dmand AI links 32 papers to Dr. Kumar, published from 2016 to 2025. 2025 was the busiest year, with 6. The most frequent topics are Kenya, Caregivers and Educational Status. Dr. Kumar has published most often in ACG Case Rep J. Dr. Kumar's most frequent co-authors are Michael Alon Angelo, MD, Niaz Banaei and Michele L. Donato, MD.

Papers32
Years published2016 to 2025

Dr. Kumar's papers by year, 2016 to 2025

Topics Dr. Kumar writes about most

  • Kenya
  • Caregivers
  • Educational Status
  • Hospitals, Public
  • Palliative Care
  • Tertiary Care Centers

Dr. Kumar's most frequent co-authors

Recent publications by Dr. Kumar

See all 32 publications and co-authors

See who Dr. Kumar researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Kumar works with, so you can find a warm path to the right gastroenterologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Rashmi Kumar received $161,132 in industry payments from 2016 to 2025

CMS Open Payments shows 349 general payments to Dr. Kumar from 29 drug and device companies from 2016 to 2025. Grants make up the largest share, 50% of the total. Pfizer Inc. paid the most, $84,078.

General payments to Dr. Kumar by program year, 2016 to 2025

General payments to Dr. Kumar by kind, 2016 to 2025

$161.1Kin total
  • Grants$80,00050%
  • Speaker and faculty fees$67,61642%
  • Food and beverage$8,5335%
  • Travel and lodging$4,7573%
  • Education$2260%

Companies that paid Dr. Kumar the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Kumar

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Rashmi Kumar graduated from Patna Medical College

Dr. Kumar graduated from Patna Medical College in 2007.

  1. Medical schoolPatna Medical College
  2. Board certified in gastroenterologyAmerican Board of Internal Medicine
  3. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Rashmi Kumar accepts plans from 10 insurance carriers

Dr. Kumar is in network with 10 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Cigna
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Regence Health Plans
  • Blue Cross and Blue Shield of Kansas City
  • +2 more carriersWith a free account

Plan types Dr. Kumar accepts, by number of carriers

  1. Medicare9
  2. PPO7
  3. HMO4
  4. POS3
  5. EPO2

Source: Dmand AI Insurance Network Data

Sources for Dr. Rashmi Kumar's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Rashmi Kumar

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Rashmi Kumar's NPI number?

Dr. Rashmi Kumar's NPI number is 1396007068. It was assigned on June 8, 2012, and it is active in the NPI Registry.

What kind of doctor is Dr. Rashmi Kumar?

Dr. Rashmi Kumar is a gastroenterologist in Irvine, California. The primary specialty in the NPI Registry is Gastroenterology Physician (taxonomy code 207RG0100X).

Where does Dr. Rashmi Kumar practice?

Dr. Kumar practices at 16405 Sand Canyon Ave, Suite 110, Irvine, CA 92618. Dr. Kumar's primary practice is Hoag Endoscopy Center - Irvine in Irvine, California. Dmand AI also links Dr. Kumar to 1 group practice or clinic.

What is Dr. Rashmi Kumar's office phone number?

The practice phone on file for Dr. Kumar is (949) 764-4448.

What is Dr. Rashmi Kumar's medical license number?

Dr. Kumar's California license number on file is A137822, one of the licenses on file in 2 states.

Which states has Dr. Rashmi Kumar been licensed in?

Dmand AI has state licenses on file for Dr. Kumar in California (2015 to 2025) and Arizona (2018 to 2024).

Which hospitals is Dr. Rashmi Kumar affiliated with?

Dr. Kumar is affiliated with Hoag Hospital Newport Beach.

What medical group is Dr. Rashmi Kumar part of?

Dr. Kumar is linked to Hoag Clinic.

Does Dr. Rashmi Kumar accept Medicare?

Yes. CMS data shows Dr. Kumar billed Medicare for 235 services in 2024, and Dr. Kumar accepts Medicare assignment.

Does Dr. Rashmi Kumar offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Kumar as offering telehealth services.

Show 11 more questionsShow fewer questions

What is Dr. Rashmi Kumar's MIPS score?

Dr. Kumar's MIPS final score for performance year 2024 is 88 out of 100, reported as part of a group.

How many Medicare patients does Dr. Rashmi Kumar see?

CMS counts 109 Medicare patients who saw Dr. Kumar in 2024, with an average age of 75.

Is Dr. Rashmi Kumar board certified?

Yes. Dr. Kumar is board certified in gastroenterology by the American Board of Internal Medicine.

What services does Dr. Rashmi Kumar bill to Medicare?

In 2024, Dr. Kumar's most billed Medicare services were office visit, established patient (99213), office visit, established patient (99214) and surgery: digestive system (45380).

Where did Dr. Rashmi Kumar go to medical school?

Dr. Kumar graduated from Patna Medical College in 2007.

What drugs does Dr. Rashmi Kumar prescribe most?

In 2024 Medicare Part D data, Dr. Kumar's most prescribed drugs by claims were Mesalamine, Sod Sulf-Potass Sulf-Mag Sulf and Pantoprazole Sodium.

Has Dr. Rashmi Kumar received payments from drug or device companies?

CMS Open Payments shows $161,132 in general payments to Dr. Kumar from 29 companies from 2016 to 2025. The largest total came from Pfizer Inc.

How long has Dr. Rashmi Kumar been practicing?

Dr. Kumar graduated from medical school in 2007, 19 years ago.

Does Dr. Rashmi Kumar do research?

Dmand AI links 32 publications to Dr. Kumar, published from 2016 to 2025.

Who does Dr. Rashmi Kumar publish with?

Dr. Kumar's most frequent co-authors are Michael Alon Angelo, MD (2 shared papers), Niaz Banaei (2 shared papers) and Michele L. Donato, MD (2 shared papers).

What insurance does Dr. Rashmi Kumar accept?

Dr. Kumar is in network with 10 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.

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