DR. SMITHA KUMAR (MD) – Family Medicine Physician, NPI 1619965688
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
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Provider Addresses for DR. SMITHA KUMAR (MD)
No Name Uno, Gilroy, Santa Clara County, California, 95020-3608, United States
115
GILROY, CA 950203537
Phone: (408) 842-3133
Fax: (408) 842-2229
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $181.
Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($106).
Total Amount
$181
General + Research + Ownership
Payments
6
Total payment records
General Amount
$181
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $106 |
| Janssen Pharmaceuticals, Inc | $54 |
| Novo Nordisk Inc | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-11-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051102000544 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 557 | 311 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 502 | 277 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 321 | 321 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 202 | 202 | $0 |
| 99497 | Advance care planning, first 30 minutes | 101 | 101 | $0 |
Insurance plans in this area (ZIP 95020)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| G A S T R O E N T E R O L O G Y | CA | |
| General Surgery | CA | |
| N E U R O S U R G E R Y | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| P O D I A T R Y | CA | |
| - | CA | |
| E N D O C R I N O L O G Y | KS | |
| Qualified Audiologist | CA |
Reviews
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