Rashmi Kumar, MD
NPI 1396007068ActiveIndividual· Internal Medicine, Gastroenterology· Irvine, CA
Internal Medicine, Gastroenterology (MD) with Hoag Clinic, practicing in Irvine, California. Their prescriptions cost Medicare Part D more than their services did: $236,271 for 173 claims, against $28,518 paid for services in 2024. Janssen Biotech, Inc. was the largest of 8 companies reporting payments in 2025, $37,880 in all, mostly speaking and faculty fees. Lists Hoag Memorial Hospital Presbyterian as a hospital affiliation.
Overview
| NPI | 1396007068 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jun 8, 2012 |
| Last updated in NPPES | Feb 27, 2024 |
| Certified by provider | Feb 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | A137822 | CA |
| Internal Medicine | 207R00000X | R73466 | AZ |
| Internal Medicine, Gastroenterology | 207RG0100X | 56483 | AZ |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 109 |
|---|---|
| Services billed | 293 across 30 procedure codes |
| Paid by Medicare | $28,518 |
Part D prescriptions in 2024
| Prescriptions (claims) | 173 · 268 30-day fills |
|---|---|
| Patients | 61 |
| Total drug cost | $236,271 |
| Generic share | 73% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Gastroenterology |
| Telehealth | Offers telehealth |
Medical group
- Hoag ClinicNewport Beach, CA · 460 clinicians
Hospital affiliation
- Hoag Memorial Hospital PresbyterianNewport Beach, CA
Industry payments (Open Payments)
- 2025$37,880 · 126 payments from 8 companies
- 2024$39,468 · 102 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Biotech, Inc. | $35,964 | 44 |
| Abbvie Inc. | $1,174 | 50 |
| Pfizer Inc. | $378.79 | 17 |
| Takeda Pharmaceuticals U.S.A., Inc. | $120.84 | 6 |
| Lilly USA, LLC | $110.94 | 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$32,690 · 10 payments
- Food and Beverage$2,923 · 111 payments
- Travel and Lodging$2,168 · 4 payments
- Education$99.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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