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Anticholesteremic AgentsAzetidinesCaco-2 Cells
Dr. Pradeep Kumar, MD
NPI1093790537PAC ID4880689017
- Medicare services, 2024
- 616
- Medicare patients, 2024
- 410
- Part D claims, 2024
- 1,104
- Publications
- 3
- MIPS score, 2024
- 80
- Practice address
- 4310 James Casey Street,St 4b 2nd Floor, Austin, TX 78745
- Practice phone
- Call (512) 420-0186
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Austin Endoscopy Center - South
Surgery Center - Medicare-Certified · Austin, Texas
Find Dr. Kumar's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Pradeep Kumar is a gastroenterologist in Austin, Texas
Dr. Kumar practices at Austin Endoscopy Center - South in Austin, Texas.
Dr. Kumar's NPI, 1093790537, was assigned on December 7, 2005. Dr. Kumar graduated from UT Southwestern Medical Center in 1991. Dr. Kumar holds Texas license J2268.
NPI and contact details
- NPI
- 1093790537NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4880689017
- NPI enumeration date
- December 7, 2005
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (512) 420-0186
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 61
- Medical school graduation
- 1991
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Pradeep Kumar practices at Austin Endoscopy Center - South in Austin, Texas
Dr. Kumar's primary practice is Austin Endoscopy Center - South, at 4310 James Casey Street,St 4b 2nd Floor, Austin, TX 78745. The practice phone is (512) 420-0186.
- Austin Endoscopy Center - South4310 James Casey Street,St 4b 2nd Floor, Austin, TX 78745Phone(512) 420-0186
Source: Dmand AI Affiliation Data
Dr. Pradeep Kumar is affiliated with 3 sites of care and 1 medical group
Dr. Kumar's primary practice is Austin Endoscopy Center - South in Austin, Texas. Dr. Kumar is also affiliated with St. David's South Austin Medical Center. The medical group on file is Austin Gastroenterology. Dmand AI also links Dr. Kumar to 1 more group practice or clinic, named with a free account.
Austin Endoscopy Center - SouthPrimary
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Pradeep 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.
| Site | EHR vendor and product |
|---|---|
| Austin Endoscopy Center - South | Available with a free account |
| +2 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
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Dr. Pradeep Kumar is one of 1,341 gastroenterologists in Texas
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 3 states: Texas, Hawaii and California.
Specialties and state licenses
- Gastroenterology, TexasPrimary
- Hawaii license
- California license
Clinical focus
Dmand AI lists acid reflux, chronic inflammatory bowel disease (IBD), cirrhosis of the liver, colonoscopy, gastrointestinal bleeding, hemorrhoids, intestinal diverticulosis and intestinal or bowel obstruction 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. Pradeep Kumar billed Medicare for 616 services in 2024
CMS data shows 616 Medicare services from Dr. Kumar across 12 procedure codes in 2024, for 410 Medicare patients. Medicare paid $68,295 for them.
Medicare services, 2024616
Medicare patients410
Paid by Medicare$68,295
Procedure codes12
Dr. Kumar's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Surgery
- 2023: 2602024: 2745%
- Office and hospital visits
- 2023: 2342024: 25911%
- Other services
- 2023: 662024: 8326%
- Tests and treatments
- 2023: 212024: 0100%
Where Dr. Kumar's Medicare services took place, 2024
- In an office25942%
- In a facility35758%
Dr. Kumar compared with the Texas median for gastroenterologists, 2024
- Dr. Kumar
- Texas median
- Medicare services
- 616vs 50522% above
- Medicare patients
- 410vs 28444% above
- Part D claims
- 919vs 49386% above
Medians across 1,281 gastroenterologists in Texas 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.
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 Texas.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Pradeep Kumar treated 410 Medicare patients in 2024, average age 73
CMS counts 410 Medicare patients who saw Dr. Kumar in 2024. The largest group is 65 to 74, with 219 patients. 75% of them have high cholesterol, and 68% have high blood pressure. 6% are also on Medicaid. Their average risk score is 1.09, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Kumar's median patient age at 60, with 49% women.
Medicare patients, 2024410
Average age73
Average risk score1.09
Also on Medicaid6%
Dr. Kumar's Medicare patients by age, 2024
Dr. Kumar's Medicare patients by sex, 2024
- Women20851%
- Men20249%
Chronic conditions among Dr. Kumar's Medicare patients, 2024
- High cholesterol75%
- High blood pressure68%
- Arthritis41%
- Ischemic heart disease37%
- Diabetes27%
- Mood disorders22%
- Atrial fibrillation20%
- Depression20%
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 60
Patient panel by sex, all payers
- Women49%
- Men50%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Pradeep Kumar wrote 1,104 Medicare Part D claims in 2024
In 2024, Dr. Kumar wrote 1,104 Medicare Part D claims for 292 patients. 76% of them were for generic drugs. CMS names the drug for 919 of them, across 21 drugs with 11 or more claims each, at $793,468 in total drug cost. In 2023, CMS named 777 claims across 22 drugs.
Part D claims, 20241,104
Drugs named by CMS21
Total drug cost$793,468
Part D patients292
Dr. Kumar's Part D claims by kind of drug, 2024
- Generic837 claims76%
- Brand-name and other267 claims24%
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.
Drug classes CMS tracks in Dr. Kumar's Part D claims, 2024
- Antibiotics2%22 of 1,104 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 7772024: 91918%
Drugs named by CMS: 21 in 2024, 22 in 2023.
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. Pradeep Kumar scored 80 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 80 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 190 procedures of colonoscopy by Dr. Kumar, more than 93% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Dr. Kumar's MIPS scores, performance year 2024
- 80of 100Final score
- 57.9of 100Quality
- 96of 100Promoting Interoperability
- 40of 100Improvement Activities
- 79of 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
- 93rd percentile190 procedures
- Upper gastrointestinal (GI) endoscopy for acid reflux
- 73rd percentile83 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. Pradeep Kumar has 3 publications on record
Dmand AI links 3 papers to Dr. Kumar in 2011. Dr. Kumar's most frequent co-author is Pooja Malhotra.
Papers3
Dr. Kumar's most frequent co-authors
Recent publications by Dr. Kumar
Education, MedicalEducation, Medical, UndergraduateEmpathy
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.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Pradeep Kumar received $141,053 in industry payments from 2016 to 2025
CMS Open Payments shows 979 general payments to Dr. Kumar from 49 drug and device companies from 2016 to 2025. Speaker and faculty fees make up the largest share, 77% of the total. Abbvie Inc. paid the most, $125,389.
General payments to Dr. Kumar by program year, 2016 to 2025
General payments to Dr. Kumar by kind, 2016 to 2025
$141.1Kin total
- Speaker and faculty fees$108,70677%
- Food and beverage$17,97813%
- Travel and lodging$14,29310%
- Education$760%
Companies that paid Dr. Kumar the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Pradeep Kumar has 2 awards and honors on record
Dmand AI lists 2 awards for Dr. Kumar, most recently ACG Fellow in 2012.
Awards and honors for Dr. Kumar
- 2012
- ACG Fellow
- Undated
- CMS Stage 1 2012
Source: Dmand AI Professional Profile Data
Dr. Pradeep Kumar graduated from UT Southwestern Medical Center
Dr. Kumar graduated from UT Southwestern Medical Center in 1991. Dr. Kumar is a member of ACG.
- Medical school
- Board certified in gastroenterology
Source: Dmand AI Professional Profile Data
Dr. Pradeep Kumar accepts plans from 16 insurance carriers
Dr. Kumar is in network with 16 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Elevance. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.
- Aetna
- Blue Cross Blue Shield of Michigan
- Elevance
- United Healthcare
- HCSC
- Aspirus Health Plan
- Blue Cross Blue Shield of Massachusetts
- Humana
- +8 more carriersWith a free account
Plan types Dr. Kumar accepts, by number of carriers
- PPO11
- Medicare8
- HMO7
- POS5
- EPO4
Source: Dmand AI Insurance Network Data
Sources for Dr. Pradeep Kumar's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors 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-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Pradeep 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. Pradeep Kumar's NPI number?
Dr. Pradeep Kumar's NPI number is 1093790537. It was assigned on December 7, 2005, and it is active in the NPI Registry.
What kind of doctor is Dr. Pradeep Kumar?
Dr. Pradeep Kumar is a gastroenterologist in Austin, Texas. The primary specialty in the NPI Registry is Gastroenterology Physician (taxonomy code 207RG0100X).
Where does Dr. Pradeep Kumar practice?
Dr. Kumar practices at 4310 James Casey Street,St 4b 2nd Floor, Austin, TX 78745. Dr. Kumar's primary practice is Austin Endoscopy Center - South in Austin, Texas. Dmand AI also links Dr. Kumar to 1 group practice or clinic.
What is Dr. Pradeep Kumar's office phone number?
The practice phone on file for Dr. Kumar is (512) 420-0186.
What is Dr. Pradeep Kumar's medical license number?
Dr. Kumar holds Texas license J2268, one of the licenses on file in 3 states.
Which states has Dr. Pradeep Kumar been licensed in?
Dmand AI has state licenses on file for Dr. Kumar in Texas (1992 to 2026), Hawaii (2000 to 2026) and California (1996 to 2025).
Which hospitals is Dr. Pradeep Kumar affiliated with?
Dr. Kumar is affiliated with St. David's South Austin Medical Center.
What medical group is Dr. Pradeep Kumar part of?
Dr. Kumar is linked to Austin Gastroenterology.
Does Dr. Pradeep Kumar accept Medicare?
Yes. CMS data shows Dr. Kumar billed Medicare for 616 services in 2024, and Dr. Kumar accepts Medicare assignment.
Does Dr. Pradeep 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. Pradeep Kumar's MIPS score?
Dr. Kumar's MIPS final score for performance year 2024 is 80 out of 100, reported as part of a group.
How many Medicare patients does Dr. Pradeep Kumar see?
CMS counts 410 Medicare patients who saw Dr. Kumar in 2024, with an average age of 73.
Is Dr. Pradeep Kumar board certified?
Yes. Dr. Kumar is board certified in gastroenterology by the American Board of Internal Medicine.
What services does Dr. Pradeep Kumar bill to Medicare?
In 2024, Dr. Kumar's most billed Medicare services were office visit, established patient (99213), surgery: digestive system (45385) and office visit, new patient (99203).
Where did Dr. Pradeep Kumar go to medical school?
Dr. Kumar graduated from UT Southwestern Medical Center in 1991.
What drugs does Dr. Pradeep Kumar prescribe most?
In 2024 Medicare Part D data, Dr. Kumar's most prescribed drugs by claims were Omeprazole, Dicyclomine HCl and Nortriptyline HCl.
Has Dr. Pradeep Kumar received payments from drug or device companies?
CMS Open Payments shows $141,053 in general payments to Dr. Kumar from 49 companies from 2016 to 2025. The largest total came from Abbvie Inc.
How long has Dr. Pradeep Kumar been practicing?
Dr. Kumar graduated from medical school in 1991, 35 years ago.
Does Dr. Pradeep Kumar do research?
Dmand AI links 3 publications to Dr. Kumar.
Who does Dr. Pradeep Kumar publish with?
Dr. Kumar's most frequent co-authors are Pooja Malhotra (1 shared paper).
What insurance does Dr. Pradeep Kumar accept?
Dr. Kumar is in network with 16 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Elevance. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.
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