1. Home
  2. Directory
  3. New Jersey
  4. Parsippany
  5. Internal Medicine
  6. NPI Profile

DR. SADHANA KUMAR M.D.
NPI 1225065634
Internal Medicine in Parsippany, NJ

Active since June 28, 2006PECOS Enrolled
362 PARSIPPANY RD, SUITE 3A, PARSIPPANY, NJ 07054(973) 515-0777(973) 515-8243 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. Sadhana Kumar M.d. NPPES

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

DR. SADHANA KUMAR M.D. (NPI 1225065634) is an individual internal medicine provider in Parsippany, New Jersey, licensed in New Jersey (25MA04310500) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1225065634
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SADHANA KUMARCredential: M.D.
Location Address362 PARSIPPANY RD, SUITE 3AParsippany, NJ 07054-5102
Mailing Address67 Whitewood DrMorris Plains, NJ 07950-3328 · (973) 515-0777 · Fax (973) 515-8243
Phone(973) 515-0777
Fax(973) 515-8243
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225065634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA04310500
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.
362 PARSIPPANY RD, Parsippany, NJ 07054
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified541458NJ
Medicare UPIND19333NJ
Medicaid1757601NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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. Sadhana Kumar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971679903
PECOS Enrollment IDI20080827000538
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 14

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
491 services67 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.
442 services92 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
257 services30 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
98 services11 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
92 services14 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.
57 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07054 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
82%1,919 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
87%87 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
74%488 patients4/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
40%488 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%488 patients1/55-star benchmark: 59%
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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
1 supplier12 claims22 services$5.08 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
2 suppliers11 claims1,476 services$0.37 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$14.06 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers35 claims35 services$58.98 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$28.48 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 5

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

SUNRISE PEDIATRICS LLC
Pediatrics
362 PARSIPPANY RD, SUITE 2A
PARSIPPANY, NJ 07054
Morris County (973) 240-7436
KING YIN WU DDS
Dentist (General Practice)
362 PARSIPPANY RD
PARSIPPANY, NJ 07054
Morris County (973) 428-1515
DR. EZIA A. INTRIVICI D.M.D.
Dentist (General Practice)
362 PARSIPPANY RD, SUITE A-4
PARSIPPANY, NJ 07054
Morris County (973) 428-1515
SADHANA KUMAR, M.D, L.L.C.
Internal Medicine
362 PARSIPPANY RD, UNIT 3A
PARSIPPANY, NJ 07054
Morris County (973) 515-0777
VARSHABEN TEJASKUMAR PATEL M.D.
Pediatrics
362 PARSIPPANY RD, SUITE 2A
PARSIPPANY, NJ 07054
Morris County (973) 240-7436

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 Sadhana Kumar's NPI number?

The NPI number for Sadhana Kumar is 1225065634. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Sadhana Kumar located?

Sadhana Kumar practices at 362 Parsippany Rd Suite 3A, Parsippany, NJ 07054. The listed phone number is (973) 515-0777.

What is Sadhana Kumar's specialty?

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

Is Sadhana Kumar enrolled in Medicare?

Yes. Sadhana Kumar is registered in the Medicare PECOS enrollment system.

What insurance does Sadhana Kumar accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sadhana 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 Sadhana Kumar affiliated with any hospitals?

According to CMS data, Sadhana Kumar is affiliated with Morristown Medical Center and Saint Clare's Hospital/ Denville Campus.

When was this NPI record last updated?

The NPPES record for Sadhana Kumar 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.