SANDHYA KUMAR
NPI 1225425408
Family Medicine in Bronx, NY
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
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Sandhya Kumar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10467
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Bronx, NY 10467
- Reassigned Medicare billing, New York enrollment
- 28 clinicians in this Medicare group
Danbury, CT 06810
- Reassigned Medicare billing, Connecticut enrollment
- 818 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
Which organizations bill Medicare for Sandhya Kumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandhya Kumar reassigns Medicare benefits to 3 organizations: Montefiore Medical Center (Bronx, NY), Care For The Homeless (Bronx, NY) and Nuvance Health Medical Practice Ct, Inc. (Danbury, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandhya Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandhya Kumar accept?
Health plans from Anthem Blue Cross and Blue Shield list Sandhya 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.
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 22 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.
# Sandhya Kumar · NPI 1225425408
Family Medicine physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since April 24, 2015.
## Identity
- **NPI:** 1225425408 (Entity type: Individual)
- **Enumerated:** April 24, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 298222 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 E 210TH ST, Bronx, NY 10467-2401
- **Phone:** (718) 920-4321
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Montefiore Medical Center (NPI 1063525152, Bronx, NY); Care For The Homeless (NPI 1164983482, Bronx, NY); Nuvance Health Medical Practice Ct, Inc. (NPI 1407898117, Danbury, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** December 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1225425408) · Data from the CMS NPPES public registry.