DR. SANJEEV KUMAR M.D.
NPI 1114954823
Psychiatry & Neurology - Neurology in Lawrence, KS

Q: What is Sanjeev Kumar's NPI number?

The NPI number for Sanjeev Kumar is 1114954823. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Q: What is Sanjeev Kumar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Sanjeev Kumar was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment

85.39/100

CMS Quality Rating

1130 W 4TH ST STE 3203, LAWRENCE, KS 66044(785) 832-1424(785) 505-5260 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Dec 2, 2020, Jul 28, 2017 and 1 more (4 updates tracked since 2016).

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About Dr. Sanjeev Kumar M.d. NPPES

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

DR. SANJEEV KUMAR M.D. (NPI 1114954823) is an individual neurology provider in Lawrence, Kansas, licensed in Kansas (04-30571) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Lmh, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1114954823

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. SANJEEV KUMARCredential: M.D.

Location Address1130 W 4TH ST STE 3203Lawrence, KS 66044-1328

Mailing Address1130 W 4th St Ste 3203Lawrence, KS 66044-1328 · (785) 832-1424 · Fax (785) 505-5260

Phone(785) 832-1424

Fax(785) 505-5260

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJune 27, 2006

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

NPPES CertifiedDecember 2, 2020

✔ NPI 1114954823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in KS · 04-30571

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1130 W 4TH ST STE 3203, Lawrence, KS 66044

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Other Identifiers 1

Medicaid200298850AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sanjeev Kumar M.d. 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 ID6709838014

PECOS Enrollment IDI20050215000738

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.

Areas of Expertise CMS Part B claims 17

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, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

18,100 services31 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

311 services177 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.

297 services237 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

150 services136 patients

Nerve conduction, 5-6 studies 95909

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.

80 services78 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

71 services70 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

61 services61 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

56 services56 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.

49 services40 patients

Measurement of brain wave activity (eeg), 61-119 minutes 95813

The procedure you're having is an EEG, which measures your brain's electrical activity. Electrodes placed on your scalp capture signals that are recorded for 61-119 minutes. This helps identify any irregularities, aiding in diagnosing conditions like epilepsy or sleep disorders.

44 services44 patients

Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874

This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.

34 services18 patients

Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615

This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.

30 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

30 services30 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.

24 services21 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.

24 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Nerve conduction, 3-4 studies 95908

Nerve conduction studies are tests that measure how well your nerves are working. In a 3-4 studies procedure, electrical signals are sent through 3-4 nerves. The speed and strength of the signal's travel is recorded to detect any nerve damage or dysfunction.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Lmh

Acute Care Hospitals · Lawrence, KS

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number170137

Location325 Maine StreetLawrence, KS 66044 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66044 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

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

85.39/100

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

Scored as part of a group practice

Quality

81.44

Promoting Interoperability

100

Improvement Activities

Cost

69.88

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Other Providers at the Same Location NPPES 2

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

TRAVIS AARON WILLIAMS FNP

Nurse Practitioner (Family)

1130 W 4TH ST STE 3203
LAWRENCE, KS 66044

Douglas County (785) 505-5020

DR. ROBERT ALLEN BECK MD

Psychiatry & Neurology (Neurology)

1130 W 4TH ST STE 3203
LAWRENCE, KS 66044

Douglas County (785) 830-8324

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 Sanjeev Kumar's NPI number?

The NPI number for Sanjeev Kumar is 1114954823. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Sanjeev Kumar located?

Sanjeev Kumar practices at 1130 W 4th St Ste 3203, Lawrence, KS 66044. The listed phone number is (785) 832-1424.

What is Sanjeev Kumar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Sanjeev Kumar enrolled in Medicare?

Yes. Sanjeev 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.

What insurance does Sanjeev Kumar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Sanjeev 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 Sanjeev Kumar affiliated with any hospitals?

According to CMS data, Sanjeev Kumar is affiliated with Lmh.

When was this NPI record last updated?

The NPPES record for Sanjeev Kumar was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.