SAGAR KUMAR MD
NPI 1609443126
Internal Medicine in Altoona, PA

Q: What is Sagar Kumar's NPI number?

The NPI number for Sagar Kumar is 1609443126. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Q: What is Sagar 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 Sagar Kumar was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 04, 2021PECOS EnrolledAccepts Medicare Assignment

620 HOWARD AVE, ALTOONA, PA 16601(814) 889-6177(814) 889-3083 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 11, 2025, Jun 4, 2021 (2 updates tracked since 2021).

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About Sagar Kumar Md NPPES

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

SAGAR KUMAR MD (NPI 1609443126) is an individual internal medicine provider in Altoona, Pennsylvania, licensed in Pennsylvania (MD490570) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1609443126

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSAGAR KUMARCredential: MD

Location Address620 HOWARD AVEAltoona, PA 16601-4804

Mailing Address620 Howard AveAltoona, PA 16601-4804 · (814) 889-6177 · Fax (814) 889-3083

Phone(814) 889-6177

Fax(814) 889-3083

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 4, 2021

Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2025

✔ NPI 1609443126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD490570

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.

620 HOWARD AVE, Altoona, PA 16601

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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

Sagar 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 ID42613598

PECOS Enrollment IDI20251028001988

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

Medicare enrollment records show Sagar Kumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upmc Altoona

Same address

General Acute Care Hospital

620 HOWARD AVE.
Altoona, PA 16601

Reassigned Medicare billing, Pennsylvania enrollment
291 clinicians in this Medicare group

NPI 1497831655 (814) 889-2223

University Of Pittsburgh Physicians

75 mi

Internal Medicine

3436 WILLIAM PENN HWY, SUITE 166
Pittsburgh, PA 15235

Reassigned Medicare billing, Pennsylvania enrollment
7,114 clinicians in this Medicare group

NPI 1407985674 (412) 823-6222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390073

Location620 Howard AvenueAltoona, PA 16601 · Blair County

Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390117

Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16601 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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.

CHRISTOPHER HOLLAND

Physician Assistant (Medical)