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Gayatri Suresh Kumar, MD

Internal Medicine · Stanford

NPI 1073010328

Medicare standing
2 flags on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer
  • California licence: Delinquent

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Kumar’s office at (650) 723-4000 to ask if they take your plan before you enroll.

California Medical Board record

Licence A173582 · Delinquent

Licence status: Delinquent · since 2021 · expires 2025-07-31 · University of Arkansas for Medical Sciences College of Medicine.

License renewal fee has not been paid. No practice is permitted.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Internal Medicine - Internal Medicine

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
76.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Original Medicare doctor bills

$12,545

Medicare paid this office $12,545 for 80 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Initial hospital care with moderate level of medical decision making at least 75 minutes54$8,615$154
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes19$2,077$109

Who their Medicare patients are

80 Original Medicare patients in 2024. Average age 75 · Women 44% · Also on Medicaid 53% · Health risk score 4.29. Sicker patients than 9 in 10 peers; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Coronary heart disease 61% · Chronic kidney disease 60% · Heart failure 56% · Diabetes 53% · Atrial fibrillation 50% · COPD 34% · Depression 34% · Dementia 29% · Cancer 25% · Stroke 21%.

The office billed $70,878, Medicare allowed $15,953 and paid $12,545; for 85 services of 3 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20248085754.29$70,878$12,545
20236971703.05$46,383$9,099
202258116753.25$67,432$11,134
202154103742.59$61,808$10,383

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 2 services

Original Medicare services billed in 2023
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes44$5,175$118
Initial hospital care with moderate level of medical decision making at least 75 minutes16$2,544$159

2022: 3 services

Original Medicare services billed in 2022
Initial hospital care with moderate level of medical decision making at least 75 minutes22$4,059$176
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes25$3,499$62
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$1,717$86

2021: 3 services

Original Medicare services billed in 2021
Initial hospital care with moderate level of medical decision making at least 75 minutes21$3,759$179
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$2,505$64
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$2,031$92

Medicaid work

$1,857 in 2024

Medicaid paid $1,857 for 44 billed services this clinician did in 2024, up to 16 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
1ST HOSP IP/OBS HIGH 7544$1,857
Medicaid work by year
202444116$1,857
202315115$576
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES15$576

Drugs they prescribed that Part D paid

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their 100 Part D prescriptions in 2021.

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

Year by year

Part D prescribing by year
2021100220% (0)None$5,962
2020113310% (0)None$6,319
201924None0% (0)None$1,532

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2020: 3 drugs

Part D drugs prescribed in 2020
Atorvastatin11$165$15
Lisinopril13$71$5
Amlodipine Besylate13$58$4

Money from drug and device companies

$178 in 2025

Industry payments by year
202523None$178
202111None$1,000

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Philips North AmericaIgt Devices Undivided$162
2 payments
  • Meals for Lm Undivided · 2025-12-17 · $23
  • Meals for Igt Devices Undivided · 2025-12-16 · $138
Abbott LaboratoriesPerclose Prostyle$16
1 payment
  • Meals for Perclose Prostyle · 2025-08-20 · $16
See all 3 published payments
Every published payment
Philips North AmericaMeals · 2025-12-17Lm Undivided$23
Philips North AmericaMeals · 2025-12-16Igt Devices Undivided$138
Abbott LaboratoriesMeals · 2025-08-20Perclose Prostyle$16
See earlier years (2021)

2021: $1,000

Payments by company in 2021
Merck Sharp & DohmeNone$1,000
1 payment
  • Grant · 2021-06-10 · $1,000

Professional record

NPI
1073010328
Licence
CA A173582California A173582: Delinquent · expires 2025-07-31
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2018-04-11
NPI last updated
2024-04-23
NPI record certified
2024-04-23

This is when the NPI record was last certified, not a medical board exam.