Active NPI 1093790537 Individual Practitioner Male Practitioner

Dr. Pradeep Kumar , MD

Internal Medicine - Gastroenterology • Austin, TX

✓ Accepts Medicare Assignment Telehealth Available

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Pradeep Kumar, MD is a registered Internal Medicine - Gastroenterology practitioner in Austin, TX. With approximately 35 years of clinical practice since graduating from University Of Texas Southwestern Medical School At Dallas in 1991, Dr. Kumar provides healthcare services at the registered practice location at 4310 JAMES CASEY ST.

Dr. Kumar is affiliated with Austin Gastroenterology Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4310 James Casey St
Suite 4a

Austin, TX 787451120

Telephone 5124484588

Fax 5124454511

Associated Practice Facility / Clinic

🏢 Sasikala Hemkumar M D P A Facility NPI 1912905233

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Gastroenterology in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +11.2 yrs vs City Avg

City Avg: 23.8 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

68 Specialists

Practicing in Austin, TX (1525 Statewide)

Telehealth Adoption Rate

61.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

77.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (35 Years) 35 Yrs

Austin Specialty Average (23.8 Years) 23.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	143	113	$160.00	$89.72
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	103	102	$1171.00	$246.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$235.00	$111.55
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	52	51	$592.00	$81.04
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	52	52	$803.00	$178.92
45380 Biopsy of large bowel using an endoscope	42	42	$883.00	$152.11
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	31	31	$818.00	$176.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	24	$235.00	$122.74
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$575.00	$80.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$95.00	$56.04
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$818.00	$174.76
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	22	22	$694.00	$132.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	121	99	$160.00	$89.29
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	116	116	$1171.00	$243.58
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	51	51	$592.00	$84.49
45380 Biopsy of large bowel using an endoscope	48	48	$883.00	$124.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	43	$235.00	$123.53
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	42	42	$803.00	$177.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$235.00	$111.46
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$818.00	$179.49
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$575.00	$87.56
45378 Diagnostic exam of large bowel using a flexible endoscope	22	22	$818.00	$165.78
91110 Imaging of digestive tract done from the inside of the digestive tract	21	21	$2200.00	$708.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$365.00	$157.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$95.00	$57.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	154	117	$160.00	$92.30
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	108	108	$1171.00	$249.64
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	72	70	$592.00	$90.42
45380 Biopsy of large bowel using an endoscope	70	70	$883.00	$151.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	55	$235.00	$130.38
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	55	55	$803.00	$180.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$235.00	$113.38
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	29	$575.00	$72.33
45378 Diagnostic exam of large bowel using a flexible endoscope	25	25	$818.00	$171.98
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$818.00	$182.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$365.00	$168.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$95.00	$57.74
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	17	16	$694.00	$116.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	12	$95.00	$37.62
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$165.00	$74.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	157	125	$160.00	$93.25
45380 Biopsy of large bowel using an endoscope	92	92	$883.00	$153.36
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	91	91	$1171.00	$253.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	85	83	$592.00	$90.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	62	$235.00	$132.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$235.00	$114.79
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	55	55	$803.00	$186.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	35	$95.00	$58.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$365.00	$166.07
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	28	28	$694.00	$140.36
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$818.00	$186.36
91110 Imaging of digestive tract done from the inside of the digestive tract	19	19	$2200.00	$901.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	15	$165.00	$71.36
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$818.00	$175.17
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$575.00	$88.76
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$165.00	$75.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$455.00	$198.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	166	129	$160.00	$76.49
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	70	70	$1171.00	$262.91
45380 Biopsy of large bowel using an endoscope	70	70	$883.00	$177.33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	60	59	$592.00	$86.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	55	$235.00	$111.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$365.00	$168.13
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	38	38	$803.00	$191.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	33	$95.00	$46.80
45378 Diagnostic exam of large bowel using a flexible endoscope	29	29	$818.00	$185.83
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	28	28	$818.00	$190.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$235.00	$109.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	17	$165.00	$73.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	19	$95.00	$38.20
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	19	19	$694.00	$122.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$455.00	$205.37
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$575.00	$89.62
91110 Imaging of digestive tract done from the inside of the digestive tract	11	11	$2200.00	$911.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	278	188	$160.00	$74.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	96	$235.00	$109.32
45380 Biopsy of large bowel using an endoscope	96	96	$883.00	$166.83
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	89	87	$592.00	$91.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$365.00	$165.78
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	71	71	$1171.00	$263.48
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	61	60	$803.00	$189.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$235.00	$107.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	42	$95.00	$45.79
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$575.00	$87.96
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$818.00	$187.79
91110 Imaging of digestive tract done from the inside of the digestive tract	25	25	$2200.00	$905.84
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$818.00	$191.00
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	18	18	$694.00	$125.56
91200 Measurement of liver stiffness	14	14	$75.00	$39.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$95.00	$37.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	192	141	$160.00	$72.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	89	$235.00	$108.13
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	94	93	$1171.00	$255.32
45380 Biopsy of large bowel using an endoscope	85	85	$883.00	$149.47
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	66	63	$592.00	$87.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	63	$95.00	$43.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$235.00	$105.60
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	52	52	$803.00	$186.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$365.00	$164.35
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	35	35	$818.00	$188.99
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$575.00	$92.93
91110 Imaging of digestive tract done from the inside of the digestive tract	25	25	$2200.00	$846.29
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	22	22	$694.00	$128.17
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$165.00	$75.52
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$818.00	$189.94
45381 Injection beneath lining of large bowel using a flexible endoscope	14	14	$855.00	$23.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	229	172	$160.00	$72.49
45380 Biopsy of large bowel using an endoscope	107	107	$883.00	$156.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	85	$95.00	$43.66
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	91	87	$592.00	$83.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	81	$235.00	$106.43
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	79	79	$1171.00	$257.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$235.00	$107.71
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	47	47	$803.00	$187.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$365.00	$160.93
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	28	28	$818.00	$185.16
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$575.00	$86.24
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	24	23	$694.00	$124.10
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$818.00	$185.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	14	$165.00	$71.35
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$165.00	$74.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$95.00	$38.71
91110 Imaging of digestive tract done from the inside of the digestive tract	12	12	$2200.00	$833.38

Medical Specialties & State Licenses

Internal Medicine - Gastroenterology Primary Specialty

NUCC Taxonomy Code: 207RG0100X

State License TX J2268

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Hospital & Practice Group Affiliations

Austin Gastroenterology Pllc

901 W Ben White Blvd, Austin, TX 787046903

Phone: 5124472211

Austin Gastroenterology Pllc

7951 Shoal Creek Blvd, Austin, TX 787577534

Phone: 5125792676

Austin Gastroenterology Pllc

7951 Shoal Creek Blvd, Austin, TX 787577581

Phone: 5124544588

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners

Marianne Johnson

Physician Assistant

NPI 1053981365

Rosimeire Beer , APRN

Nurse Practitioner - Acute Care

NPI 1063883874

Advanced Practice Registered Nurse

Dr. Fletcher Srygley , MD

Internal Medicine - Gastroenterology

NPI 1124290416

Doctor of Medicine (M.D.)

Emily Harding , EMILY HARDING, PA-C

Physician Assistant

NPI 1124331624

EMILYHARDING, Physician Assistant (Certified)

Dr. Sheila Reddy , MD

Internal Medicine - Gastroenterology

NPI 1144579699

Doctor of Medicine (M.D.)

Dr. Benjamin Havemann , MD

Internal Medicine - Gastroenterology

NPI 1154347870

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 13, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 13, 2009

Registered at 4310 JAMES CASEY ST, SUITE 4A, AUSTIN, TX 787451120 (Tel: 5124484588)

📍

Updated Business Mailing Address November 13, 2009

Registered at PO BOX 10597, AUSTIN, TX 787661597 (Tel: 5124855878)

👤

Provider Name / Credentials Updated November 13, 2009

Recorded as PRADEEP KUMAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2009

Internal Medicine (License #J2268 in TX)

🟢

Initial NPI Registration & Enumeration December 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093790537

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 07, 2005

Last Update: November 13, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 10597

Austin, TX 787661597

Phone: 5124855878

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.