SANGEETA KUMAR MD
NPI 1578581237
Internal Medicine in Springfield, MA

Q: What is Sangeeta Kumar's NPI number?

The NPI number for Sangeeta Kumar is 1578581237. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Sangeeta Kumar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sangeeta Kumar was last updated on October 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment

305 BICENTENNIAL HWY, SPRINGFIELD, MA 01118(413) 733-4101(413) 783-9544 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Sangeeta Kumar Md NPPES

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

SANGEETA KUMAR MD (NPI 1578581237) is an individual internal medicine provider in Springfield, Massachusetts, licensed in Massachusetts (261134) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Ctr, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1578581237

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSANGEETA KUMARCredential: MD

Location Address305 BICENTENNIAL HWYSpringfield, MA 01118-1962

Mailing Address305 Bicentennial HwySpringfield, MA 01118-1962

Phone(413) 733-4101

Fax(413) 783-9544

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateJuly 18, 2006

Last NPPES UpdateOctober 28, 2025

NPPES CertifiedOctober 28, 2025

✔ NPI 1578581237 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 · 261134

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.

305 BICENTENNIAL HWY, Springfield, MA 01118

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Sangeeta Kumar Md 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 ID6305806001

PECOS Enrollment IDI20150306001301

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 7

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.

Established patient office or other outpatient visit, 30-39 minutes 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.

218 services112 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

48 services32 patients

Established patient office or other outpatient visit, 40-54 minutes 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

32 services27 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

27 services27 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

23 services23 patients

Pneumococcal vaccine, 23-valent 90732

The 23-valent pneumococcal vaccine is an injection that helps protect against serious infections caused by 23 types of pneumococcal bacteria. It's vital for those at risk, like older adults or people with certain health conditions, to prevent pneumonia, meningitis, and bloodstream infections.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220066

Location271 Carew StreetSpringfield, MA 01104 · Hampden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01118 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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

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

6 suppliers17 claims36 services$5.57 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.

DR. ROBERT J KAPLAN MD

Physical Medicine & Rehabilitation

305 BICENTENNIAL HWY, INNOVATIVE PHYSICIAN SERVICES LLC
SPRINGFIELD, MA 01118

Hampden County (413) 733-4101

ALFRED C. PIEL M.D.

Internal Medicine