SAMUEL PREM KUMAR (MD) – Cardiovascular Disease Physician, NPI 1629050430
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SAMUEL PREM KUMAR (MD)
Arlington Avenue, Riverside, Riverside County, California, 92506, United States
RIVERSIDE, CA 925063912
Phone: (951) 782-3644
Fax: (951) 784-3267
Type: Mailing
Brockton Avenue, Riverside, Riverside County, California, 92506, United States
RIVERSIDE, CA 925062615
Phone: (951) 782-3644
Fax: (951) 784-3267
Type: Location
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 $108.
Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: ViiV Healthcare Company ($83).
Total Amount
$108
General + Research + Ownership
Payments
6
Total payment records
General Amount
$108
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $83 |
| Abbott Laboratories | $25 |
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: 2005-03-14
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 |
|---|---|---|---|---|
| I20050314001081 | I | Cardiovascular Disease (Cardiology) | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92506)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | CA | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 17 | 12 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | CA | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 30 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| - | CA | |
| - | CA | |
| Internal Medicine | CA | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | CA | |
| Internal Medicine | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| Internal Medicine | CA | |
| Family Practice | CA |
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