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MR. KUMAR GAUTAM SINHA M.D.
NPI 1194919340
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Wayne, NJ

Active since August 30, 2007PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
504 VALLEY RD, STE 203, WAYNE, NJ 07470(973) 686-0700 Get Directions Write a Review

NPPES record last updated: June 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kumar Gautam Sinha M.d. NPPES

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

MR. KUMAR GAUTAM SINHA M.D. (NPI 1194919340) is an individual orthopaedic surgery of the spine provider in Wayne, New Jersey, licensed in New Jersey (FS1402546) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1194919340
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameMR. KUMAR GAUTAM SINHACredential: M.D.
Location Address504 VALLEY RD, STE 203Wayne, NJ 07470-3534
Mailing Address504 Valley Rd, Ste 203Wayne, NJ 07470-3534 · (973) 686-0700
Phone(973) 686-0700
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 30, 2007
Last NPPES UpdateJune 2, 2010
✔ NPI 1194919340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in NJ · FS1402546
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
504 VALLEY RD, Wayne, NJ 07470
Open in Google Maps ↗

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

Mr. Kumar Gautam 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 ID7517006695
PECOS Enrollment IDI20091202000693
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 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.

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.
181 services106 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.
76 services76 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.
58 services49 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
25 services16 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
24 services16 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
23 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310017
Location97 West ParkwayPompton Plains, NJ 07444 · Morris County
Emergency services Birthing friendly

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

DR. MORDECAI M. WITKIN D.P.M.
Podiatrist (Primary Podiatric Medicine)
504 VALLEY RD
WAYNE, NJ 07470
Passaic County (973) 696-6677
UNIVERSITY SPINE CENTER, P.C.
Specialist
504 VALLEY RD, 2ND FLOOR
WAYNE, NJ 07470
Passaic County (973) 686-0700
DR. ANTHONY NMI FESTA MD
Orthopaedic Surgery (Sports Medicine)
504 VALLEY RD, SUITE 200
WAYNE, NJ 07470
Passaic County (973) 694-2690
DR. KI SOO HWANG M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
504 VALLEY RD, 2ND FLOOR
WAYNE, NJ 07470
Passaic County (973) 686-0700
SIGNAL NEUROMONITORING, LLC
Specialist/Technologist, Other (Electroneurodiagnostic)
504 VALLEY RD
WAYNE, NJ 07470
Passaic County (973) 686-0700
DR. DOUGLAS JOSEPH BORKOWSKI M.D.
General Practice
504 VALLEY RD, SUITE 200
WAYNE, NJ 07470
Passaic County (973) 694-2690
CRAIG WRIGHT M.D.
Orthopaedic Surgery (Orthopaedic Trauma)
504 VALLEY RD, SUITE 200
WAYNE, NJ 07470
Passaic County (973) 694-2690
ADVANCED HAND SURGERY AND ORTHOPEDICS PA
Orthopaedic Surgery (Hand Surgery)
504 VALLEY RD, SUITE 201
WAYNE, NJ 07470
Passaic County (973) 942-1315

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 Kumar Sinha's NPI number?

The NPI number for Kumar Sinha is 1194919340. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Kumar Sinha located?

Kumar Sinha practices at 504 Valley Rd Ste 203, Wayne, NJ 07470. The listed phone number is (973) 686-0700.

What is Kumar Sinha's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Kumar Sinha enrolled in Medicare?

Yes. Kumar 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.

Is Kumar Sinha affiliated with any hospitals?

According to CMS data, Kumar Sinha is affiliated with Morristown Medical Center, Chilton Medical Center, St Joseph's University Medical Center Inc and Robert Wood Johnson University Hospital At Rahway.

When was this NPI record last updated?

The NPPES record for Kumar Sinha was last updated on June 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.