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DR. SANJAI SINHA M.D.
NPI 1215947239
Internal Medicine in Bronx, NY

Active since August 09, 2006PECOS Enrolled
100/100
CMS Quality Rating
130 W KINGSBRIDGE RD, FIRST FLOOR - SUITE D, BRONX, NY 10468(718) 584-9000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sanjai Sinha M.d. NPPES

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

DR. SANJAI SINHA M.D. (NPI 1215947239) is an individual internal medicine provider in Bronx, New York, licensed in New York (215927) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215947239
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANJAI SINHACredential: M.D.
Location Address130 W KINGSBRIDGE RD, FIRST FLOOR - SUITE DBronx, NY 10468-3904
Mailing Address100 Remsen St, Apt 3hBrooklyn, NY 11201-4256 · (718) 584-9000 · Fax (718) 741-4781
Phone(718) 584-9000
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215947239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 215927
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
130 W KINGSBRIDGE RD, Bronx, NY 10468
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sanjai Sinha M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 7

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.
329 services201 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
102 services102 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.
42 services32 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
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.
19 services16 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.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10468 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims23 services$5.15 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.

DR. KELLY RAE CLARK PHARM.D.
Pharmacist (Psychiatric)
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
CHARISSE JAMES
Social Worker
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
DR. JEREMY SILVERMAN PHD
Psychologist (Clinical)
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
GUANQING SUN MD
Hospitalist
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
DR. MONICA ANN SORIO
Pharmacist
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
MRS. BLANCA VICTORIA FABER MSW, ACSW, LCSW
Social Worker (Clinical)
130 W KINGSBRIDGE RD, J. J. PETERS VA MEDICAL CENTER
BRONX, NY 10468
Bronx County (718) 584-9000
DR. HELENE EVE PRICE M.D.
Psychiatry & Neurology (Neurology)
130 W KINGSBRIDGE RD, NEUROLOGY DEPT., BRONX VETERANS HOSPITAL
BRONX, NY 10468
Bronx County (718) 584-9000
MS. ALBA L HERNANDEZ MS, RD
Dietitian, Registered
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000

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 Sanjai Sinha's NPI number?

The NPI number for Sanjai Sinha is 1215947239. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Sanjai Sinha located?

Sanjai Sinha practices at 130 W Kingsbridge Rd First Floor - Suite D, Bronx, NY 10468. The listed phone number is (718) 584-9000.

What is Sanjai Sinha's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sanjai Sinha enrolled in Medicare?

Yes. Sanjai Sinha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sanjai Sinha was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.