Dr Nishchal Kumar, MD - Medicare Family Practice in Mission Viejo, CA

Dr Nishchal Kumar, MD is a medicare enrolled "Family Medicine" physician in Mission Viejo, California. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Memorialcare Medical Foundation and his current practice location is 23512 Madero, Mission Viejo, California. You can reach out to his office (for appointments etc.) via phone at (949) 583-1600.

Dr Nishchal Kumar is licensed to practice in California (license number A128234) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962712729.

Contact Information

Dr Nishchal Kumar, MD
23512 Madero,
Mission Viejo, CA 92691-2743
(949) 583-1600
(949) 454-8067

Map and Direction




Physician's Profile

Full NameDr Nishchal Kumar
GenderMale
SpecialityFamily Practice
Experience15 Years
Location23512 Madero, Mission Viejo, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nishchal Kumar graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1962712729
  • Provider Enumeration Date: 10/14/2010
  • Last Update Date: 10/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6103140041
  • Enrollment ID: I20150123000946

Medical Identifiers

Medical identifiers for Dr Nishchal Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962712729NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A128234 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorialcare Saddleback Medical CenterLaguna hills, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorialcare Medical Foundation8729277314384

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nishchal Kumar allows following entities to bill medicare on his behalf.
Entity NameMemorialcare Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205167350
PECOS PAC ID: 8729277314
Enrollment ID: O20110113000219

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nishchal Kumar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nishchal Kumar, MD
23512 Madero,
Mission Viejo, CA 92691-2743

Ph: (949) 583-1600
Dr Nishchal Kumar, MD
23512 Madero,
Mission Viejo, CA 92691-2743

Ph: (949) 583-1600

Reviews and Comments


Family Medicine Doctors in Mission Viejo, CA

Dr. Nader A. Ahmad, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 23962 Alicia Pkwy, Saddleback Family & Urgent Care, Mission Viejo, CA 92691
Phone: 949-452-7699    Fax: 949-770-2815
Randall Vincent Ricketts, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 26991 Crown Valley Pkwy, Mission Viejo, CA 92691
Phone: 949-582-5430    Fax: 949-348-9513
Dr. David Alan Craddock,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 27660 Santa Margarita Pkwy, Mission Viejo, CA 92691
Phone: 949-951-7111    Fax: 949-951-2524
Mary Yusook Moon, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 23512 Madero, Mission Viejo, CA 92691
Phone: 949-583-1600    
Sherri Lee Mokuau,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 23781 Maquina, Mission Viejo, CA 92691
Phone: 888-988-2800    
Gail Silver, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 23962 Alicia Pkwy, Ste I-1, Mission Viejo, CA 92691
Phone: 949-770-6000    
Shenoda Yousef Azmy Abd Elmaseh,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691
Phone: 949-276-2111    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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