KUMAR SANAM M.B.B.S.
NPI 1295049575
Internal Medicine - Cardiovascular Disease in Clovis, CA

Active since July 29, 2010PECOS EnrolledAccepts Medicare Assignment
275 W HERNDON AVE, CLOVIS, CA 93612(559) 203-3600(559) 910-9955 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2026, Sep 23, 2024, Dec 7, 2020 and 3 more (6 updates tracked since 2017).

About Kumar Sanam M.b.b.s. NPPES

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

KUMAR SANAM M.B.B.S. (NPI 1295049575) is an individual cardiovascular disease provider in Clovis, California, licensed in California (A181797) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1295049575
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameKUMAR SANAMCredential: M.B.B.S.
Location Address275 W HERNDON AVEClovis, CA 93612-0204
Mailing Address275 W Herndon AveClovis, CA 93612-0204 · (559) 203-3600 · Fax (559) 910-9955
Fax(559) 910-9955
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 29, 2010
Last NPPES UpdateAugust 14, 20266 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1295049575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · A181797
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License A181797 (CA)
275 W HERNDON AVE, Clovis, CA 93612

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

Kumar Sanam M.b.b.s. 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 ID7214208347
PECOS Enrollment IDI20221123001248
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kumar Sanam reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
2151 HERNDON AVE STE 105
Fresno, CA 93611
  • Reassigned Medicare billing, California enrollment
  • 508 clinicians in this Medicare group
General Acute Care Hospital
2755 HERNDON AVE
Clovis, CA 93611
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Fresno Community Hospital And Medical Center
  • 122 clinicians in this Medicare group
General Acute Care Hospital
1303 E HERNDON AVE
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 181 clinicians in this Medicare group
General Acute Care Hospital
372 W. CYPRESS AVE
Reedley, CA 93654
  • Reassigned Medicare billing, California enrollment
  • 315 clinicians in this Medicare group
Family Medicine
18661 HIGHWAY 120
Groveland, CA 95321
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1033100854 (California)
  • 172 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.

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.

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.
998 services899 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.
348 services340 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.
284 services176 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.
154 services137 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
134 services129 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
129 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93612 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$17.29 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
2 suppliers18 claims18 services$89.99 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.

Pediatrics
275 W HERNDON AVE
CLOVIS, CA 93612
Internal Medicine
275 W HERNDON AVE
CLOVIS, CA 93612
Nurse Practitioner (Family)
275 W HERNDON AVE
CLOVIS, CA 93612
Nurse Practitioner (Family)
275 W HERNDON AVE
CLOVIS, CA 93612
Pediatrics
275 W HERNDON AVE
CLOVIS, CA 93612
Nurse Practitioner (Pediatrics)
275 W HERNDON AVE
CLOVIS, CA 93612
Physician Assistant
275 W HERNDON AVE
CLOVIS, CA 93612
Physician Assistant (Medical)
275 W HERNDON AVE
CLOVIS, CA 93612

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 Kumar Sanam's NPI number?

The NPI number for Kumar Sanam is 1295049575. It was assigned to this individual provider in the NPPES registry on July 29, 2010.

Where is Kumar Sanam located?

Kumar Sanam practices at 275 W Herndon Ave, Clovis, CA 93612. The listed phone number is (559) 203-3600.

What is Kumar Sanam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kumar Sanam enrolled in Medicare?

Yes. Kumar Sanam 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 Kumar Sanam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kumar Sanam reassigns Medicare benefits to 5 organizations: Community Foundation Medical Group (Fresno, CA), Clovis Community Medical Center (Clovis, CA), Saint Agnes Medical Center (Fresno, CA), Reedley Community Hospital (Reedley, CA) and Sonora Community Hospital (Groveland, CA). 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 Kumar Sanam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kumar Sanam was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.