SAJAL KUMAR MD
NPI 1063487494
Internal Medicine - Nephrology in Yakima, WA

Q: What is Sajal Kumar's NPI number?

The NPI number for Sajal Kumar is 1063487494. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Q: What is Sajal Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Sajal Kumar was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 February 21, 2006PECOS EnrolledAccepts Medicare Assignment

16.1/100

CMS Quality Rating

315 HOLTON AVE, SUITE 100, YAKIMA, WA 98902(509) 248-6292(509) 248-9134 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Sajal Kumar Md NPPES

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

SAJAL KUMAR MD (NPI 1063487494) is an individual nephrology provider in Yakima, Washington, licensed in Washington (MD60076892) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Yakima Valley Memorial, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1063487494

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameSAJAL KUMARCredential: MD

Location Address315 HOLTON AVE, SUITE 100Yakima, WA 98902-3254

Mailing Address315 Holton Ave, Suite 100Yakima, WA 98902-3254 · (509) 248-6292 · Fax (509) 248-9134

Phone(509) 248-6292

Fax(509) 248-9134

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateFebruary 21, 2006

Last NPPES UpdateOctober 18, 2023

NPPES CertifiedOctober 18, 2023

✔ NPI 1063487494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in WA · MD60076892✔ Licensed in TX · M7347

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

315 HOLTON AVE, Yakima, WA 98902

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Other Identifiers 1

Medicaid7140726WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Sajal 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 ID9133150758

PECOS Enrollment IDI20090702000129

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 Reassignment

Medicare enrollment records show Sajal Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

J. Hamilton Licht, M.D., P.C.

Same address

Nephrology

315 HOLTON AVE, SUITE 100
Yakima, WA 98902

Reassigned Medicare billing, Washington enrollment
4 clinicians in this Medicare group

NPI 1306905138 (509) 248-6292

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 13

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.

Injection, darbepoetin alfa, 1 microgram (non-esrd use) J0881

Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.

4,440 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

294 services180 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

208 services38 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

202 services51 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

178 services26 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

172 services49 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

88 services64 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

68 services22 patients

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.

67 services37 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

31 services18 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

19 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500036

Location2811 Tieton DriveYakima, WA 98902 · Yakima County

Emergency services Birthing friendly

Astria Sunnyside Hospital

Critical Access Hospitals · Sunnyside, WA

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number501330

Location1016 Tacoma AvenueSunnyside, WA 98944 · Yakima County

Emergency services

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501333

Location603 South ChestnutEllensburg, WA 98926 · Kittitas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98902 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

16.1/100

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

Individually scored

Quality

Improvement Activities

Cost

53.66

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

86%400 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

98%448 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

10 suppliers147 claims10,230 services$0.30 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

9 suppliers56 claims7,800 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

5 suppliers57 claims8,328 services$0.18 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

7 suppliers82 claims12,306 services$0.90 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

13 suppliers142 claims142 services$18.13 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

12 suppliers195 claims210 services$11.90 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 8

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

DANIEL PAK M.D.

Radiology (Diagnostic Radiology)

315 HOLTON AVE, STE 102
YAKIMA, WA 98902

Yakima County (509) 895-0402

J. HAMILTON LICHT, M.D., P.C.

Internal Medicine (Nephrology)

315 HOLTON AVE, SUITE 100
YAKIMA, WA 98902

Yakima County (509) 248-6292

DR. ERIC J LINDSTROM M.D.

Radiology (Diagnostic Radiology)

315 HOLTON AVE, SUITE 102
YAKIMA, WA 98902

Yakima County (509) 248-6633

STEVEN WESLEY JOHNSON M.D.

Radiology (Diagnostic Radiology)

315 HOLTON AVE, SUITE 102
YAKIMA, WA 98902

Yakima County (509) 248-6633

BRENDA J COLLINS M.S.R.D.

Dietitian, Registered

315 HOLTON AVE, SUITE 100
YAKIMA, WA 98902

Yakima County (509) 248-6292

KAREN L. HARRISON, M.D. P.S., INC.

Internal Medicine (Nephrology)

315 HOLTON AVE, SUITE 100
YAKIMA, WA 98902

Yakima County (509) 248-6292

JEFFREY HAMILTON LICHT M.D.

Internal Medicine (Nephrology)

315 HOLTON AVE, SUITE 100
YAKIMA, WA 98902

Yakima County (509) 248-6292

PATRICK O'BRIEN MD

Radiology (Diagnostic Radiology)

315 HOLTON AVE, STE 102
YAKIMA, WA 98902

Yakima County (509) 895-0402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sajal Kumar's NPI number?

The NPI number for Sajal Kumar is 1063487494. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Sajal Kumar located?

Sajal Kumar practices at 315 Holton Ave Suite 100, Yakima, WA 98902. The listed phone number is (509) 248-6292.

What is Sajal Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sajal Kumar enrolled in Medicare?

Yes. Sajal Kumar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sajal Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sajal Kumar reassigns Medicare benefits to J. Hamilton Licht, M.D., P.C. (Yakima, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sajal Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sajal Kumar accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sajal Kumar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sajal Kumar affiliated with any hospitals?

According to CMS data, Sajal Kumar is affiliated with Yakima Valley Memorial, Astria Sunnyside Hospital and Kittitas Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Sajal Kumar was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.