SANDHYA KUMAR
NPI 1225425408
Family Medicine in Bronx, NY

Active since April 24, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandhya Kumar NPPES

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

SANDHYA KUMAR (NPI 1225425408) is an individual family medicine provider in Bronx, New York, licensed in New York (298222) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Alabama School Of Medicine (2015).

NPPES Registry Identity

NPI1225425408
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANDHYA KUMAR
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address3544 Jerome AveBronx, NY 10467-1005 · (718) 920-4321
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2015
Enumeration DateApril 24, 2015
Last NPPES UpdateDecember 9, 2024
NPPES CertifiedDecember 9, 2024
NPI 1225425408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NY · 298222 Licensed in CT · 79601
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
111 E 210TH ST, Bronx, NY 10467

Secondary Practice Locations 2

Location 1800 Barretto StBronx, NY 10474-5304 · Phone (347) 269-4572
Location 221 Elm StNew Milford, CT 06776-2915 · Phone (860) 210-5550

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

Sandhya Kumar 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 ID4486995404
PECOS Enrollment IDI20250218001012
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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 as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Anesthesiology
111 E 210TH ST
BRONX, NY 10467

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 Sandhya Kumar's NPI number?

The NPI number for Sandhya Kumar is 1225425408. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Where is Sandhya Kumar located?

Sandhya Kumar practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4321.

What is Sandhya Kumar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sandhya Kumar enrolled in Medicare?

Yes. Sandhya 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 Sandhya Kumar was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.