Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SANJAY KUMAR M.D.
NPI 1205948288
Internal Medicine - Interventional Cardiology in Santa Barbara, CA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
80.81/100
CMS Quality Rating
2400 BATH ST, SUITE 201, SANTA BARBARA, CA 93105(805) 682-7707(805) 682-7710 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sanjay Kumar M.d. NPPES

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

SANJAY KUMAR M.D. (NPI 1205948288) is an individual interventional cardiology provider in Santa Barbara, California, licensed in California (A51189) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1205948288
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameSANJAY KUMARCredential: M.D.
Location Address2400 BATH ST, SUITE 201Santa Barbara, CA 93105-4351
Mailing Address2400 Bath St Ste 201Santa Barbara, CA 93105-4351 · (805) 682-7707 · Fax (805) 682-7710
Fax(805) 682-7710
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
NPI 1205948288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in CA · A51189
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License A51189 (CA)
2400 BATH ST, Santa Barbara, CA 93105

Other Identifiers 1

Medicaid00A511890CA

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

Sanjay 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 ID5799787966
PECOS Enrollment IDI20070201000337
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 33

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.
1,573 services956 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
466 services463 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
362 services325 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.
234 services178 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
187 services138 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
184 services179 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93105 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
$139.99 typical visit price
range $62.01 – $184.40
Typical copayment $34.99 (range $15.50 – $46.10)
Most-billed visit code 99204
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
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.

80.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.62
Promoting Interoperability100
Improvement Activities40
Cost55.43

Reported Quality Measures

Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy
Percentage of patients aged 18 years and older with nonvalvular atrial fibrillation (AF) or atrial flutter who were prescribed warfarin OR another FDA- approved anticoagulant drug for the prevention of thromboembolism during the measurement period
100%51 patients5/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
100%44 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%105 patients5/55-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…
100%105 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
100%75 patients5/55-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.

Other Providers at the Same Location NPPES 14

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

Clinical Medical Laboratory
2400 BATH ST
SANTA BARBARA, CA 93105
Specialist
2400 BATH ST, SUITE 201
SANTA BARBARA, CA 93105
Internal Medicine (Cardiovascular Disease)
2400 BATH ST, SUITE 201
SANTA BARBARA, CA 93105
Internal Medicine (Cardiovascular Disease)
2400 BATH ST, SUITE 201
SANTA BARBARA, CA 93105
Internal Medicine
2400 BATH ST, SUITE 202
SANTA BARBARA, CA 93105
Registered Nurse (Registered Nurse First Assistant)
2400 BATH ST, SUITE202
SANTA BARBARA, CA 93105
Internal Medicine (Cardiovascular Disease)
2400 BATH ST, SUITE 201
SANTA BARBARA, CA 93105
Internal Medicine (Interventional Cardiology)
2400 BATH ST
SANTA BARBARA, CA 93105

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 Sanjay Kumar's NPI number?

The NPI number for Sanjay Kumar is 1205948288. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Sanjay Kumar located?

Sanjay Kumar practices at 2400 Bath St Suite 201, Santa Barbara, CA 93105. The listed phone number is (805) 682-7707.

What is Sanjay Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Sanjay Kumar enrolled in Medicare?

Yes. Sanjay 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.

When was this NPI record last updated?

The NPPES record for Sanjay Kumar was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.