SANJEEV KUMAR MD
NPI 1053362178
Internal Medicine in Anderson, SC

Q: What is Sanjeev Kumar's NPI number?

The NPI number for Sanjeev Kumar is 1053362178. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Q: What is Sanjeev Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sanjeev Kumar was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 13, 2006PECOS EnrolledAccepts Medicare Assignment

69.85/100

CMS Quality Rating

819 N FANT ST, ANDERSON, SC 29621(864) 261-1800(864) 261-1856 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Sanjeev Kumar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANJEEV KUMAR MD (NPI 1053362178) is an individual internal medicine provider in Anderson, South Carolina, licensed in South Carolina (28036) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Anmed Health, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1053362178

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSANJEEV KUMARCredential: MD

Location Address819 N FANT STAnderson, SC 29621-5717

Mailing Address819 N Fant StAnderson, SC 29621-5717 · (864) 261-1800 · Fax (864) 261-1856

Phone(864) 261-1800

Fax(864) 261-1856

Sole ProprietorYes

Medical School CMSOtherGraduated 1997

Enumeration DateMay 13, 2006

Last NPPES UpdateJuly 25, 2024

NPPES CertifiedJuly 25, 2024

✔ NPI 1053362178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in SC · 28036

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 28036 (SC)

819 N FANT ST, Anderson, SC 29621

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Other Identifiers 3

Medicaid280369SC

OtherP00246234SC · Rr Medicare

OtherP00964173SC · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sanjeev Kumar Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345270567

PECOS Enrollment IDI20050817000868

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Sanjeev Kumar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anmed Health

Same address

Community/Behavioral Health

800 N FANT ST
Anderson, SC 29621

Reassigned Medicare billing, South Carolina enrollment
269 clinicians in this Medicare group

NPI 1629843099 (864) 512-1983

24 On Physicians, PC

Same address

Hospitalist

800 N FANT ST
Anderson, SC 29621

Reassigned Medicare billing, South Carolina enrollment
146 clinicians in this Medicare group

NPI 1588613343 (800) 923-2247

Galen Inpatient Physicians PC

2.4 mi

Internal Medicine

2000 E GREENVILLE ST FL 2
Anderson, SC 29621

Reassigned Medicare billing, South Carolina enrollment
79 clinicians in this Medicare group

NPI 1962241901 (864) 609-3200

Vitalen Inpatient Care PC

26 mi

Hospitalist

1 SAINT FRANCIS DR
Greenville, SC 29601

Reassigned Medicare billing, South Carolina enrollment
74 clinicians in this Medicare group

NPI 1083217616 (864) 255-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

416 services194 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

67 services67 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

62 services53 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

45 services44 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

45 services29 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

29 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Anmed Health

Acute Care Hospitals · Anderson, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420027

Location800 N Fant StAnderson, SC 29621 · Anderson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.85/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

57.55

Cost

68.12

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061

DME-Orthotic Devices · category DF010N

1 supplier13 claims250 services$3.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIKOLOZ LAZARIASHVILI MD

Internal Medicine