Andre Kumar, MD
Internal Medicine · Stanford
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 5
- 2 carriers
- Offices
- 2
Offices
2 locations · Stanford Health Care · 3,152 clinicians in this group
Hospitals listed: Stanford Health Care. That is not proof they admit you there this week.
Plans that list them
5 plans · 2 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Kumar’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
5 of 5 plans
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
California Medical Board record
Licence A131887 · Current
Licensed to practise in California · since 2014 · expires 2028-01-31 · Tulane University School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
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.
Hospitals they work in
1 hospital
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- Stanford Health CareStanford, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Stanford Health Care, which runs 3 hospitalsHome of Stanford Cancer Institute, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 83% would definitely recommend itOverall rating: 5 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 5.31 (4.24 to 6.37) · 8,661 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 14.1 (12.7 to 15.7) · 2,191 cases, Jan 2024 – Dec 2024Better than the national rate — Postoperative respiratory failure rate: 4.08 (1.95 to 6.21) · 5,296 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.317, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.446, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.241, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.9) · 3,348 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Stanford Health Care
Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 2 better, 5 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 5.31 (4.24 to 6.37) · 8,661 cases | Worse | Jul 2022 – Jun 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 14.1 (12.7 to 15.7) · 2,191 cases | Worse | Jan 2024 – Dec 2024 |
| Postoperative respiratory failure rateComplications and deaths | 4.08 (1.95 to 6.21) · 5,296 cases | Better | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.317 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.446 | Better | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.241 | Better | Oct 2024 – Sep 2025 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.7 (0.6 to 0.9) · 3,348 cases | Better | Jan 2024 – Dec 2024 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.06 (0.45 to 1.67) · 5,374 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.86 (0.72 to 1) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 166.09 (137.88 to 194.3) · 470 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 1.1 · 192 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 6.4 · 146 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 9.7 · 253 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 6.3 · 880 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 10.3 · 935 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 8.7 · 501 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 2.1 · 7,730 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.13 (0 to 0.27) · 20,799 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.28 (0.14 to 0.43) · 23,182 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 0.94 (0.2 to 1.68) · 5,694 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.36 (1.54 to 3.19) · 7,846 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.2 (3.76 to 6.64) · 5,603 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.38 (0.23 to 2.53) · 2,211 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.52 (0.21 to 0.83) · 19,915 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.6 · 416 cases | None | Apr 2023 – Mar 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.869 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.857 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 0.368 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 16.2 · 247 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.5 · 1,021 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 47.8 · 258 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -1.6 · 990 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 20.8 · 976 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.5 · 959 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.2 (4.4 to 6.2) · 2,191 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.1 · 425 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 9.6 · 158 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.6 · 183 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.7 (10.4 to 15.4) · 4,578 cases | No different | Jan 2022 – Dec 2024 |
What patients said (6,810 patients answered, 25% of those asked)
| Cleanliness | 4 |
| Nurse communication | 4 |
| Doctor communication | 4 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 4 |
| Quietness | 2 |
| Recommend hospital | 5 |
| Room was "always" clean | 75% |
| Nurses "always" communicated well | 82% |
| Doctors "always" communicated well | 81% |
| Staff "always" explained | 63% |
| Yes, staff "did" give patients this information | 89% |
| Yes, staff "did" give patients information about help after discharge | 89% |
| Doctors "always" explained things so they could understand | 76% |
| Doctors "always" listened carefully | 80% |
| Doctors "always" treated them with courtesy and respect | 87% |
| Patients who gave a rating of "9" or "10" (high) | 79% |
| Staff "always" explained new medications | 76% |
| Nurses "always" explained things so they could understand | 77% |
| Nurses "always" listened carefully | 79% |
| Nurses "always" treated them with courtesy and respect | 88% |
| "Always" quiet at night | 53% |
| "YES", patients would definitely recommend the hospital | 83% |
| Staff "always" explained possible side effects | 50% |
| Yes, staff "did" give patients information about possible symptoms | 90% |
Original Medicare doctor bills
$50,219
Medicare paid this office $50,219 for 141 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 95 | $29,820 | $103 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 74 | $11,270 | $150 |
| Hospital discharge day management, more than 30 minutes | 77 | $7,849 | $99 |
Who their Medicare patients are
141 Original Medicare patients in 2024. Average age 77 · Under 65 11% · 85 and older 28% · Women 53% · Also on Medicaid 45% · Health risk score 2.83. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.
Conditions among them: High blood pressure 75% · Diabetes 50% · Chronic kidney disease 50% · Coronary heart disease 47% · Heart failure 45% · Depression 41% · Atrial fibrillation 39% · COPD 33% · Dementia 33% · Cancer 25% · Stroke 18%.
The office billed $217,995, Medicare allowed $65,139 and paid $50,219; for 466 services of 10 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
| 2024 | 141 | 466 | 77 | 2.83 | $217,995 | $50,219 |
| 2023 | 146 | 456 | 75 | 3.20 | $237,563 | $51,448 |
| 2022 | 200 | 676 | 76 | 2.62 | $300,486 | $72,664 |
| 2021 | 225 | 669 | 72 | 2.88 | $313,310 | $74,219 |
| 2020 | 205 | 722 | 73 | 3.20 | $316,464 | $79,481 |
| 2019 | 156 | 415 | 72 | 2.62 | $177,567 | $44,984 |
| 2018 | 216 | 693 | 73 | 3.07 | $289,032 | $75,348 |
| 2017 | 187 | 609 | 73 | 2.87 | $246,115 | $65,624 |
| 2016 | 29 | 120 | 72 | 3.27 | $41,498 | $11,081 |
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: 4 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 105 | $28,988 | $110 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 64 | $10,475 | $161 |
| Hospital discharge day management, more than 30 minutes | 67 | $7,336 | $108 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 19 | $2,481 | $73 |
2022: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 129 | $37,452 | $93 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 90 | $16,045 | $178 |
| Hospital discharge day management, more than 30 minutes | 96 | $9,413 | $97 |
| Initial hospital observation care per day, typically 70 minutes | 21 | $3,585 | $171 |
| Hospital observation care on day of discharge | 24 | $1,682 | $70 |
2021: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 127 | $32,820 | $93 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 87 | $16,809 | $185 |
| Hospital discharge day management, more than 30 minutes | 90 | $9,331 | $100 |
| Initial hospital observation care per day, typically 70 minutes | 36 | $5,932 | $165 |
| Hospital observation care on day of discharge | 35 | $2,649 | $72 |
2020: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 140 | $41,990 | $95 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 91 | $17,191 | $183 |
| Hospital discharge day management, more than 30 minutes | 112 | $11,556 | $100 |
| Initial hospital observation care per day, typically 70 minutes | 21 | $4,111 | $196 |
| Hospital observation care on day of discharge | 24 | $1,806 | $72 |
2019: 7 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 86 | $17,919 | $93 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 61 | $11,196 | $184 |
| Hospital discharge day management, more than 30 minutes | 64 | $6,346 | $99 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 13 | $2,178 | $66 |
| Initial hospital observation care per day, typically 70 minutes | 13 | $2,164 | $155 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 15 | $1,856 | $124 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 14 | $1,363 | $91 |
2018: 7 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 129 | $32,767 | $94 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 99 | $18,254 | $181 |
| Hospital discharge day management, more than 30 minutes | 112 | $11,388 | $98 |
| Initial hospital observation care per day, typically 70 minutes | 22 | $3,578 | $163 |
| Hospital observation care on day of discharge | 24 | $1,605 | $67 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 14 | $1,504 | $65 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 12 | $1,467 | $122 |
2017: 6 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 103 | $26,888 | $93 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 96 | $17,319 | $180 |
| Hospital discharge day management, more than 30 minutes | 93 | $9,195 | $98 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 24 | $2,980 | $65 |
| Initial hospital observation care per day, typically 70 minutes | 13 | $2,333 | $167 |
| Hospital observation care on day of discharge | 21 | $1,460 | $66 |
2016: 2 services
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 14 | $5,741 | $93 |
| Hospital discharge day management, more than 30 minutes | 13 | $1,361 | $97 |
Medicaid work
$10,365 in 2024
Medicaid paid $10,365 for 276 billed services this clinician did in 2024, up to 23 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.
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 210 | $7,299 |
| 1ST HOSP IP/OBS HIGH 75 | 31 | $1,904 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 35 | $1,162 |
| 2024 | 276 | 3 | 23 | $10,365 |
| 2023 | 401 | 3 | 23 | $15,483 |
| 2022 | 562 | 3 | 26 | $18,384 |
| 2021 | 506 | 3 | 37 | $18,344 |
| 2020 | 378 | 3 | 22 | $12,436 |
| 2019 | 71 | 3 | 16 | $3,907 |
| 2018 | 143 | 3 | 21 | $5,925 |
See the largest Medicaid services in earlier years
2023
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 296 | $10,524 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 79 | $3,085 |
| 1ST HOSP IP/OBS HIGH 75 | 26 | $1,874 |
2022
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 441 | $12,876 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 75 | $2,783 |
| 1ST HOSP IP/OBS HIGH 75 | 46 | $2,725 |
2021
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 391 | $11,827 |
| 1ST HOSP IP/OBS HIGH 75 | 90 | $5,402 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 25 | $1,115 |
2020
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 316 | $9,404 |
| 1ST HOSP IP/OBS HIGH 75 | 47 | $2,388 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 15 | $643 |
2019
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 33 | $2,072 |
| 1ST HOSP IP/OBS HIGH 75 | 26 | $1,297 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 12 | $538 |
2018
| 1ST HOSP IP/OBS HIGH 75 | 35 | $2,085 |
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 48 | $1,932 |
| SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 60 | $1,909 |
Money from drug and device companies
$491 in 2025
A payment is not proof that care is biased.
| Butterfly Network | None | $491 | 1 payment
|
See the published payment
| Butterfly Network | Consulting · 2025-06-30 | None | $491 |
Research money
Money a company paid to run a study. Where it went to their institution, the clinician is named as an investigator and did not receive it; the amount covers the whole study, often across many sites.
| Caption Health, Inc. · 2024 | This clinician | $13,800 |
| GE HEALTHCARE · Gastric Poc Ultrasound Study Stanford · 2025 | Their institution | $10,093 |
| Caption Health, Inc. · 2023 | This clinician | $2,400 |
Professional record
- NPI
- 1457693699
- Licence
- CA A131887California A131887: Current · expires 2028-01-31
- Trained
- Tulane University School of Medicine, 2013
- Group
- Stanford Health Care
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Internal medicine (207R00000X)
- Mailing address
- 300 Pasteur Dr, Stanford, CA, 94305
- NPI first listed
- 2013-03-26
- NPI last updated
- 2024-04-19
- NPI record certified
- 2024-04-19
This is when the NPI record was last certified, not a medical board exam.