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DR. ANIL KUMAR SINHA M.D.
NPI 1154303949
Surgery in Lake Jackson, TX

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
201 OAK DR S, SUITE 203-B, LAKE JACKSON, TX 77566(979) 285-2828(979) 285-9155 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Anil Kumar Sinha M.d. NPPES

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

DR. ANIL KUMAR SINHA M.D. (NPI 1154303949) is an individual surgery provider in Lake Jackson, Texas, licensed in Texas (K6784) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Brazosport, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (1990).

NPPES Registry Identity

NPI1154303949
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ANIL KUMAR SINHACredential: M.D.
Location Address201 OAK DR S, SUITE 203-BLake Jackson, TX 77566-5627
Mailing Address201 Oak Dr S, Suite 203-bLake Jackson, TX 77566-5676 · (979) 285-2828 · Fax (979) 285-9155
Phone(979) 285-2828
Fax(979) 285-9155
Sole ProprietorYes
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 1990
Enumeration DateNovember 17, 2005
Last NPPES UpdateNovember 17, 2011
✔ NPI 1154303949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · K6784
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
201 OAK DR S, Lake Jackson, TX 77566
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Other Identifiers 2

Medicare UPING80786TX
Medicare ID-Type Unspecified8323B9TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Anil Kumar Sinha 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 ID9638171101
PECOS Enrollment IDI20110803000234
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 Anil Sinha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anil Sinha, M.D., P.A.
Same address
Surgery
201 OAK DR S, STE 203B
Lake Jackson, TX 77566
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Anil Sinha MD PA
NPI 1528190444 (979) 285-2828

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 6

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.

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.
134 services23 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
97 services22 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.
34 services34 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.
34 services28 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.
23 services17 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Brazosport

Acute Care Hospitals · Lake Jackson, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450072
Location100 Medical DriveLake Jackson, TX 77566 · Brazoria County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77566 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
$88.15 typical visit price
range $57.16 – $172.89
Typical copayment $22.03 (range $14.29 – $43.22)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.45 – $141.27
Typical copayment $17.82 (range $4.61 – $35.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims1,100 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
3 suppliers19 claims2,890 services$0.34 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 20

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

BRAZOSPORT EAR, NOSE & THROAT CLINIC, PA
Specialist
201 OAK DR S, SUITE 207
LAKE JACKSON, TX 77566
Brazoria County (979) 297-2477
BRUCE PAUL MEYERS M.D.
Specialist
201 OAK DR S, SUITE 207
LAKE JACKSON, TX 77566
Brazoria County (979) 297-2477
DR. PHILIP C KOURY DDS
Dentist (General Practice)
201 OAK DR S, SUITE 206
LAKE JACKSON, TX 77566
Brazoria County (979) 297-2491
KOURY & MITSCHKE DENTISTRY PARTNERSHIP
Dentist (General Practice)
201 OAK DR S, SUITE 206
LAKE JACKSON, TX 77566
Brazoria County (979) 297-2491
DR. JOHN MATHEW POOTHULLIL M.D.,F.R.C.P,F.A.A.P
Allergy & Immunology
201 OAK DR S, SUITE 106
LAKE JACKSON, TX 77566
Brazoria County (979) 297-8006
DR. SAMUEL J MITSCHKE DDS
Dentist (General Practice)
201 OAK DR S, SUITE 206
LAKE JACKSON, TX 77566
Brazoria County (979) 297-2491
LYNDON F BARNWELL M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
201 OAK DR S
LAKE JACKSON, TX 77566
Brazoria County (979) 480-0990
SAUNDRA L JAIN PSYD, LPC
Counselor (Professional)
201 OAK DR S, SUITE 204
LAKE JACKSON, TX 77566
Brazoria County (979) 480-9886

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 Anil Sinha's NPI number?

The NPI number for Anil Sinha is 1154303949. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Anil Sinha located?

Anil Sinha practices at 201 Oak Dr S Suite 203-B, Lake Jackson, TX 77566. The listed phone number is (979) 285-2828.

What is Anil Sinha's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Anil Sinha enrolled in Medicare?

Yes. Anil Sinha 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 Anil Sinha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anil Sinha reassigns Medicare benefits to Anil Sinha, M.D., P.A. (Lake Jackson, TX). 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 Anil Sinha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anil Sinha accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Anil Sinha 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 Anil Sinha affiliated with any hospitals?

According to CMS data, Anil Sinha is affiliated with Chi St Luke's Health Brazosport.

When was this NPI record last updated?

The NPPES record for Anil Sinha was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.