SANJIV KUMAR
NPI 1639286719
Specialist in Uvalde, TX

Q: 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.

Q: What is Sanjiv Kumar's specialty?

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

Q: 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 21 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 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: October 18, 2026.

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

On this page

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 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

Phone(830) 278-2020

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

Open in Google Maps ↗

Other Identifiers 1

Medicaid142084601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Sanjiv Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanjiv R. Kumar, M.D., P.A.

Same address

Ophthalmology

927 E MAIN ST
Uvalde, TX 78801

Reassigned Medicare billing, Texas enrollment

NPI 1497862445 (830) 278-2020

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 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

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

33 services29 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

32 services32 patients

Creation of eye fluid drainage tracts in iris using a laser, per session 66761

This procedure uses a laser to create small drainage tracts in the iris, the colored part of your eye. This helps excess fluid escape, reducing pressure in the eye that can cause glaucoma. It's performed in sessions.

30 services16 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

29 services29 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

29 services29 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

26 services16 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

18 services17 patients

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.

Which organization bills Medicare for Sanjiv Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjiv Kumar reassigns Medicare benefits to Sanjiv R. Kumar, M.D., P.A. (Uvalde, TX). The 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 Sanjiv Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.

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 21 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.