ANIMESH K. SINHA M.D. NPI 1013091487
Family Medicine in Sacramento, CA


Animesh Sinha is a primary care provider established in Sacramento, California and his medical specialization is Family Medicine with more than 21 years of experience. He graduated from University Of South Carolina School Of Medicine in 2002. The NPI number of Animesh Sinha is 1013091487 and was assigned on October 2006. The practitioner's primary taxonomy code is 207Q00000X with license number A91595 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.

Provider Name ANIMESH K. SINHA M.D.
Location Address7215 55TH STREET SACRAMENTO, CA 95823
Location Phone(916) 399-1100
Mailing Address200 OCEANGATE SUITE 100 LONG BEACH, CA 90802
NPI Entity TypeIndividual
Graduation Year2002
Is Sole Proprietor?Yes
Enumeration Date10-24-2006
Last Update Date02-11-2022

A primary care provider (PCP) like Animesh K. Sinha M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Animesh Sinha is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Animesh Sinha is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.56 for a new patient copayment and $27.26 for an established patient copayment.

Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.A91595
License StateCA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

7215 55TH STREET
ZIP 95823
Phone: (916) 399-1100
Fax: (916) 399-2061

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Mailing Address

ZIP 90802
Phone: (562) 499-6191
Fax: (562) 499-6171

Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7618053216
PECOS Enrollment IDI20150928001042
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 95823 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$61.52 $185.29 $94.24
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.38 $46.32 $23.56
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.52 $151.94 $109.06
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.88 $37.98 $27.26

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 2 + 4 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1013091487 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669646170 ZAKA UDDIN VERA M.D.
Internal Medicine (Cardiovascular Disease)7215 55TH STREET
(916) 399-1100
Family Medicine7215 55TH STREET
(916) 399-1100
1457367179 AMANDA TAGLE MD
Pediatrics7215 55TH STREET
(916) 399-1100

Frequently Asked Questions

What is Animesh Sinha M.D. NPI number?

The NPI number assigned to Animesh Sinha M.D. is 1013091487, registered as an "individual" on October 24, 2006

Where is Animesh Sinha M.D. located?

The provider is located at 7215 55th Street Sacramento, Ca 95823 and the phone number is (916) 399-1100

Which is Animesh Sinha M.D. specialty?

The provider's speciality is Family Medicine

How many years of experience does Animesh Sinha M.D. have?

The provider has more than 21 years of experience. He graduated from University Of South Carolina School Of Medicine in 2002.

What insurance does Animesh Sinha M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Animesh Sinha M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Animesh Sinha M.D.?

Medicare beneficiaries should expect a typical cost of $94.24 with an average copayment of $23.56 for new patient appointments. Established patients should expect a typical charge of $109.06 and an average copayment of 27.26. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Animesh Sinha M.D. was last updated on October 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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