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Aswathi Kumar, MD

Endocrinology · San Jose

NPI 1801283767

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
18
3 carriers
Office
1

Offices

1 location · County of Santa Clara · 1,000 clinicians in this group

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

18 plans · 3 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 at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

18 of 18 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

California Medical Board record

Licence A169772 · Current

Licensed to practise in California · since 2020 · expires 2028-08-31 · University of Texas Medical Branch at Galveston.

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

State licence records

1 licence

  • Texas BP10052909Physician-in-Training Permit · since 2015 · expires 2018-06-23
    Permit TerminatedNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

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.

  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$25,523

Medicare paid this office $25,523 for 172 people.

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

Largest Original Medicare bills
Return visit (30+ min)91$10,409$80
New patient visit (45+ min)59$6,446$109
Short return visit (20+ min)17$1,065$59
New patient visit (30+ min)18$962$53

Who their Medicare patients are

172 Original Medicare patients in 2024. Average age 73 · Under 65 10% · 85 and older 12% · Women 71% · Also on Medicaid 81% · Health risk score 1.74. Above the middle of the specialty; the typical endocrinology clinician is at 1.46.

Conditions among them: High blood pressure 75% · Diabetes 45% · Coronary heart disease 22% · Chronic kidney disease 20% · Atrial fibrillation 20% · Heart failure 19% · Depression 16% · Dementia 13% · Cancer 11% · COPD 10% · Stroke 10%.

The office billed $217,010, Medicare allowed $34,332 and paid $25,523; for 456 services of 16 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
2024172456731.74$217,010$25,523
20234266,441751.70$803,535$181,209
20223253,618731.55$470,976$111,880
20214204,467741.57$604,558$150,925
2020152765731.82$133,254$31,332

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: 10 services

Original Medicare services billed in 2023
Injection, denosumab, 1 mg64$98,055None
Return visit (30+ min)293$51,373$109
New patient visit (45+ min)100$13,932$139
Long return visit (40+ min)16$2,675$157
New patient visit (45+ min)19$2,123$112
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report39$1,973$29
Short return visit (20+ min)25$1,849$71
Injection of drug or substance under skin or into muscle67$1,515$14
New patient visit (30+ min)12$888$74
Hemoglobin a1c level29$314$10

2022: 6 services

Original Medicare services billed in 2022
Injection, denosumab, 1 mg42$51,299None
Return visit (30+ min)229$33,830$111
New patient visit (45+ min)109$15,314$140
Short return visit (20+ min)28$2,358$81
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report22$904$29
Injection of drug or substance under skin or into muscle46$732$14

2021: 10 services

Original Medicare services billed in 2021
Injection, denosumab, 1 mg38$56,552None
Return visit (30+ min)228$46,351$113
New patient visit (45+ min)132$19,644$149
Long return visit (40+ min)36$5,449$140
Influenza vaccine split virus, preservative free62$4,046$65
Short return visit (20+ min)43$3,831$82
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes17$1,517$89
Administration of influenza virus vaccine65$1,360$21
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report24$1,240$31
Injection of drug or substance under skin or into muscle38$682$12

2020: 4 services

Original Medicare services billed in 2020
Return visit (30+ min)86$9,969$101
New patient visit (45+ min)36$5,101$142
Long return visit (40+ min)29$4,012$138
Short return visit (20+ min)15$1,136$71

Medicaid work

$1,144 in 2024

Medicaid paid $1,144 for 1,154 billed services this clinician did in 2024, up to 50 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
Return visit (30+ min)261$909
OFF/OP CNSLTJ NEW/EST MOD 4075$235
Medication list documented in medical record (COA)164$0
Review of all medications by a prescribing practitioner or clinical pharmacist (such as, prescriptions, OTCs, herbal therapies and supplements) documented in the medical record (COA)19$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)187$0
Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)44$0
Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)62$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)263$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)79$0
Medicaid work by year
20241,154950$1,144

Drugs they prescribed that Part D paid

$299,240

Pharmacies billed $299,240 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 607) in 2024. At or below the middle of the specialty; the typical endocrinology clinician is at 0%.

341 generic and 225 brand-name prescriptions · $299,240 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Prolia72$106,008$1,472
Teriparatide16$47,635$2,977
Tradjenta14$11,995$857
Testosterone14$5,720$409
Nano 2nd Gen Pen Needle20$3,457$173
See all 13 drugs
Every Part D drug this clinician prescribed
Prolia72$106,008$1,472
Teriparatide16$47,635$2,977
Tradjenta14$11,995$857
Testosterone14$5,720$409
Nano 2nd Gen Pen Needle20$3,457$173
Lantus Solostar21$2,670$127
Levothyroxine84$1,242$15
Hydrocortisone19$879$46
Testosterone Cypionate18$638$35
Alendronate56$520$9
Methimazole45$391$9
Metformin27$252$9
Metformin Hcl Er13$245$19

Year by year

Part D prescribing by year
20246072330% (0)37%$299,240
20231,8553720% (0)48%$1,010,781
20221,1082550% (0)48%$537,719
20211,3322890% (0)46%$583,060
20207851750% (0)51%$313,496
2019459530% (0)55%$193,907
201841110% (0)None$9,131
201614None0% (0)None$3,112

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

See the drugs prescribed each year

2023: 35 drugs

Part D drugs prescribed in 2023
Trulicity114$215,064$1,887
Ozempic46$93,011$2,022
Lantus Solostar99$64,604$653
Novolog Flexpen66$59,911$908
Jardiance42$57,562$1,371
Tradjenta47$48,854$1,039
Januvia33$46,508$1,409
Humalog Kwikpen U-10034$42,455$1,249
Teriparatide14$40,772$2,912
Prolia17$28,665$1,686
Toujeo Solostar19$25,568$1,346
Farxiga22$22,789$1,036
Basaglar Kwikpen U-10039$18,115$464
Rybelsus12$13,511$1,126
Tresiba Flextouch U-10013$13,391$1,030
Toujeo Max Solostar11$10,716$974
Nano 2nd Gen Pen Needle47$5,311$113
Levothyroxine295$4,709$16
Metformin140$1,866$13
Synthroid13$1,831$141
Metformin Hcl Er68$1,763$26
Alendronate103$1,755$17
Ultra-Fine Mini Pen Needle16$1,479$92
Liothyronine27$1,361$50
Ultra-Fine Nano Pen Needle12$1,029$86
Repaglinide23$995$43
Glipizide53$621$12
Hydrocortisone13$555$43
Methimazole31$538$17
Atorvastatin41$532$13
Glimepiride12$266$22
Prednisone12$174$14
Rosuvastatin12$141$12
Amlodipine Besylate12$100$8
Hydrochlorothiazide12$45$4

2022: 25 drugs

Part D drugs prescribed in 2022
Trulicity64$125,962$1,968
Novolog Flexpen44$39,962$908
Januvia27$39,804$1,474
Tradjenta33$38,856$1,177
Jardiance20$35,482$1,774
Lantus Solostar60$33,860$564
Humalog Kwikpen U-10017$16,238$955
Farxiga16$13,497$844
Tresiba Flextouch U-20012$7,771$648
Nano 2nd Gen Pen Needle34$5,419$159
Basaglar Kwikpen U-10012$4,869$406
Levothyroxine193$3,542$18
Synthroid25$2,553$102
Liothyronine15$1,605$107
Repaglinide17$983$58
Metformin83$760$9
Alendronate36$708$20
Metformin Hcl Er31$669$22
Hydrocortisone12$615$51
Atorvastatin21$344$16
Methimazole21$296$14
Glipizide Er12$206$17
Glipizide16$201$13
Glimepiride31$196$6
Rosuvastatin11$144$13

2021: 33 drugs

Part D drugs prescribed in 2021
Trulicity61$122,531$2,009
Forteo11$68,648$6,241
Lantus Solostar84$53,599$638
Novolog Flexpen34$38,018$1,118
Jardiance25$36,071$1,443
Januvia26$35,488$1,365
Tradjenta30$31,188$1,040
Ozempic16$17,399$1,087
Tresiba Flextouch U-10021$14,476$689
Humalog Kwikpen U-10013$12,048$927
Toujeo Solostar17$10,039$591
Basaglar Kwikpen U-10014$6,205$443
Nano 2nd Gen Pen Needle41$5,124$125
Levothyroxine214$4,740$22
Synthroid44$4,560$104
Ultra-Fine Mini Pen Needle30$3,224$107
Repaglinide21$1,605$76
Ultra-Fine Nano Pen Needle15$1,552$103
Armour Thyroid11$1,219$111
Rosuvastatin12$1,171$98
Liothyronine20$1,161$58
Metformin83$961$12
Metformin Hcl Er59$671$11
Atorvastatin35$384$11
Alendronate20$352$18
Glipizide Er15$351$23
Glipizide27$249$9
Glimepiride27$202$7
Methimazole12$192$16
Euthyrox16$181$11
Amlodipine Besylate14$156$11
Simvastatin12$152$13
Gabapentin11$134$12

2020: 18 drugs

Part D drugs prescribed in 2020
Trulicity36$57,877$1,608
Lantus Solostar60$37,970$633
Ozempic29$24,403$841
Victoza 3-Pak12$20,132$1,678
Humalog Kwikpen U-10015$18,893$1,260
Tresiba Flextouch U-10026$16,500$635
Novolog Flexpen14$12,877$920
Novolin 70-3011$12,652$1,150
Novolog15$8,316$554
Basaglar Kwikpen U-10011$3,709$337
Levothyroxine114$2,836$25
Ultra-Fine Nano Pen Needle17$2,228$131
Comfort Ez Pen Needle12$1,548$129
Synthroid28$1,335$48
Metformin41$419$10
Atorvastatin24$319$13
Metformin Hcl Er34$233$7
Lisinopril11$59$5

2019: 16 drugs

Part D drugs prescribed in 2019
Ozempic18$19,384$1,077
Victoza 3-Pak11$17,450$1,586
Lantus Solostar30$17,109$570
Trulicity13$16,332$1,256
Humalog Kwikpen U-10022$14,158$644
Victoza 2-Pak13$10,691$822
Tradjenta18$8,009$445
Levothyroxine52$1,142$22
Atorvastatin14$470$34
Fenofibrate12$454$38
Metformin29$238$8
1st Tier Unifine Pentips Plus11$237$22
Metformin Hcl Er15$203$14
Pravastatin12$177$15
Lisinopril14$71$5
Pioglitazone14$50$4

Money from drug and device companies

$302 in 2019

A payment is not proof that care is biased.

Payments by company
Boehringer Ingelheim PharmaceuticalsNone$125
1 payment
  • Meals · 2019-06-08 · $125
SenseonicsEversense$118
1 payment
  • Meals for Eversense · 2019-03-05 · $118
AmgenNone$59
1 payment
  • Meals · 2019-04-12 · $59
See all 3 published payments
Every published payment
Boehringer Ingelheim PharmaceuticalsMeals · 2019-06-08None$125
AmgenMeals · 2019-04-12None$59
SenseonicsMeals · 2019-03-05Eversense$118

Professional record

NPI
1801283767
Licence
CA A169772, MO 2018015701, TX BP10052909California A169772: Current · expires 2028-08-31Texas BP10052909: Permit Terminated
Trained
University of Texas Medical Branch at Galveston, 2015
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 207RE0101X (207RE0101X); Internal medicine (207R00000X)
Mailing address
5568 Gibraltar Dr, Pleasanton, CA, 94588
NPI first listed
2015-04-18
NPI last updated
2023-08-15
NPI record certified
2023-08-15

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