SANJIV KUMAR
NPI 1639286719
Specialist in Uvalde, TX

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
927 E MAIN ST STE A, UVALDE, TX 78801(830) 278-2020(830) 278-1040 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 10, 2025, Apr 1, 2024 (2 updates tracked since 2024).

About Sanjiv Kumar NPPES

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

SANJIV KUMAR (NPI 1639286719) is an individual specialist in Uvalde, Texas, licensed in Texas (J9141) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Uvalde Memorial Hospital, and is a graduate of Harvard Medical School (1991).

NPPES Registry Identity

NPI1639286719
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSANJIV KUMAR
Location Address927 E MAIN ST STE AUvalde, TX 78801-5660
Mailing Address927 E Main St Ste AUvalde, TX 78801-5660 · (830) 278-2020 · Fax (830) 278-1040
Fax(830) 278-1040
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1991
Enumeration DateAugust 24, 2006
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
NPI 1639286719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · J9141
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
927 E MAIN ST STE A, Uvalde, TX 78801

Other Identifiers 1

Medicaid142084601TX

Accepted 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

Sanjiv 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.

PECOS PAC ID7517991227
PECOS Enrollment IDI20110301000925
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 13

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
366 services180 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
131 services88 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
57 services48 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
49 services40 patients
Destruction of growth of retina using a laser 67210
This procedure involves using a precise laser to target and remove abnormal growths on the retina, the thin layer at the back of the eye. It's a safe and effective way to protect your vision and prevent further eye damage.
38 services22 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
37 services32 patients

Hospital Affiliations CMS Care Compare

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

Uvalde Memorial Hospital

Critical Access Hospitals · Uvalde, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451387
Location1025 Garner Field RoadUvalde, TX 78801 · Uvalde County
Emergency services

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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 Sanjiv Kumar's NPI number?

The NPI number for Sanjiv Kumar is 1639286719. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Sanjiv Kumar located?

Sanjiv Kumar practices at 927 E Main St Ste A, Uvalde, TX 78801. The listed phone number is (830) 278-2020.

What is Sanjiv Kumar's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sanjiv Kumar enrolled in Medicare?

Yes. Sanjiv 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.

What insurance does Sanjiv Kumar accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Sanjiv 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.

Is Sanjiv Kumar affiliated with any hospitals?

According to CMS data, Sanjiv Kumar is affiliated with Uvalde Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sanjiv Kumar was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.