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DR. SANJAY KUMBAR M.D.
NPI 1548624281
Internal Medicine in Weymouth, MA

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment
55 FOGG RD, WEYMOUTH, MA 02190(781) 624-8000 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, Nov 18, 2019 (2 updates tracked since 2019).

About Dr. Sanjay Kumbar M.d. NPPES

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

DR. SANJAY KUMBAR M.D. (NPI 1548624281) is an individual internal medicine provider in Weymouth, Massachusetts, licensed in Massachusetts (279396) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548624281
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANJAY KUMBARCredential: M.D.
Location Address55 FOGG RDWeymouth, MA 02190-2432
Mailing Address100 Madison AveMorristown, NJ 07960-6136 · (973) 971-5000
Phone(781) 624-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 8, 2016
Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
✔ NPI 1548624281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 279396
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.
55 FOGG RD, Weymouth, MA 02190
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Secondary Practice Locations 2

Location 1100 Madison AveMorristown, NJ 07960-6136 · Phone (973) 971-5000
Location 2235 N Pearl StBrockton, MA 02301-1794 · Phone (508) 427-3000

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

Dr. Sanjay Kumbar M.d. 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 ID8123359536
PECOS Enrollment IDI20191016003112
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 6

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 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.
533 services264 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
175 services168 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
155 services84 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.
76 services75 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services14 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02190 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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
1 supplier30 claims30 services$14.37 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 suppliers31 claims31 services$66.71 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.

LINDA CASHMAN-BELTON R.D.
Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Norfolk County (781) 340-4293
DR. ARI CHARLES SACKS M.D.
Radiology (Diagnostic Radiology)
55 FOGG RD
WEYMOUTH, MA 02190
Norfolk County (781) 624-8000
OLIVIA SERPA
Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Norfolk County (781) 624-8935
MRS. PAULA L KENNEDY RDN
Dietitian, Registered
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 624-7267
DONNA J HUDSON-BRYANT FNP-BC, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
55 FOGG RD
WEYMOUTH, MA 02190
Norfolk County (781) 624-8000
DR. GABRIEL PARIS DO
Pediatrics
55 FOGG RD
S WEYMOUTH, MA 02190
Norfolk County (781) 624-8000
MELISSA MCPHERSON
Social Worker (Clinical)
55 FOGG RD
WEYMOUTH, MA 02190
Norfolk County (781) 624-3021
NKIRU SOFIA OGBUEFI
Student in an Organized Health Care Education/Training Program
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Norfolk County (781) 624-8000

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 Sanjay Kumbar's NPI number?

The NPI number for Sanjay Kumbar is 1548624281. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Sanjay Kumbar located?

Sanjay Kumbar practices at 55 Fogg Rd, Weymouth, MA 02190. The listed phone number is (781) 624-8000.

What is Sanjay Kumbar's specialty?

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

Is Sanjay Kumbar enrolled in Medicare?

Yes. Sanjay Kumbar 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.

Is Sanjay Kumbar affiliated with any hospitals?

According to CMS data, Sanjay Kumbar is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Sanjay Kumbar was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.