Pradeep Kumar, M.D.
NPI 1093790537ActiveIndividual· Internal Medicine, Gastroenterology· Austin, TX
Internal Medicine, Gastroenterology (M.D.) in Austin, Texas, trained at University of Texas Southwestern Medical School at Dallas (class of 1991). Their prescriptions cost Medicare Part D more than their services did: $1,207,013 for 1,104 claims, against $74,185 paid for services in 2024. Abbvie Inc. was the largest of 15 companies reporting payments in 2025, $39,119 in all, mostly speaking and faculty fees.
Overview
| NPI | 1093790537 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Dec 7, 2005 |
| Last updated in NPPES | Nov 13, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | J2268 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Gastroenterology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 410 |
|---|---|
| Services billed | 1,292 across 33 procedure codes |
| Paid by Medicare | $74,185 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,104 · 1,956 30-day fills |
|---|---|
| Patients | 292 |
| Total drug cost | $1,207,013 |
| Generic share | 76% of claims |
Education and affiliations
| Medical school | University of Texas Southwestern Medical School at Dallas |
|---|---|
| Graduation year | 1991 |
| Medicare specialty | Gastroenterology |
| Telehealth | Offers telehealth |
Medical group
- Austin Gastroenterology PLLCRound Rock, TX · 76 clinicians
Hospital affiliation
- St David's South Austin Medical CenterAustin, TX
Industry payments (Open Payments)
- 2025$39,119 · 141 payments from 15 companies
- 2024$17,193 · 109 payments from 21 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $37,979 | 74 |
| Pfizer Inc. | $334.83 | 29 |
| Aimmune Therapeutics, Inc. | $214.03 | 15 |
| Genzyme Corporation | $128.70 | 4 |
| Ardelyx, Inc. | $84.42 | 4 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$30,100 · 10 payments
- Travel and Lodging$6,432 · 7 payments
- Food and Beverage$2,587 · 124 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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