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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KAMLESH PREM SAJNANI MD
NPI 1730490152
Internal Medicine - Medical Oncology in Harlan, KY

Active since June 30, 2010PECOS Enrolled
97.4/100
CMS Quality Rating
37 BALL PARK RD, HARLAN, KY 40831(606) 573-4520(606) 573-6392 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2026, Jun 29, 2021 (2 updates tracked since 2021).

About Dr. Kamlesh Prem Sajnani Md NPPES

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

DR. KAMLESH PREM SAJNANI MD (NPI 1730490152) is an individual medical oncology provider in Harlan, Kentucky, licensed in Kentucky (48385) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Highlands Arh Regional Medical Center, and maintains a secondary practice location in Maryville.

NPPES Registry Identity

NPI1730490152
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. KAMLESH PREM SAJNANICredential: MD
Location Address37 BALL PARK RDHarlan, KY 40831-1701
Mailing Address37 Ball Park RdHarlan, KY 40831-1701 · (606) 573-4520 · Fax (606) 573-6392
Phone(606) 573-4520
Fax(606) 573-6392
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJune 30, 2010
Last NPPES UpdateOctober 23, 20262 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1730490152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses✔ Licensed in KY · 48385✔ Licensed in TN · 247670
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
37 BALL PARK RD, Harlan, KY 40831
Open in Google Maps ↗

Secondary Practice Location 1

Location 1907 E Lamar Alexander Pkwy Ste 220Maryville, TN 37804-5015 · Phone (865) 238-6600

Other Identifiers 2

MedicaidQ067614TN
Medicaid7100385460KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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

Dr. Kamlesh Prem Sajnani 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 ID648587535
PECOS Enrollment IDI20150909001638
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

3

Medicare enrollment records show Kamlesh Sajnani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appalachian Regional Healthcare, Inc
Same address
Rural Health
37 BALL PARK ROAD
Harlan, KY 40831
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1932415882 (Kentucky)
  • 419 clinicians in this Medicare group
NPI 1669506523 (606) 573-4520
Arh Mary Breckinridge Health Services, Inc.
25 mi
Anatomic Pathology & Clinical Pathology
130 KATE IRELAND DR
Hyden, KY 41749
  • Reassigned Medicare billing, Kentucky enrollment
  • 89 clinicians in this Medicare group
NPI 1962040758 (606) 672-2901
Arh Tug Valley Health Services, Inc.
66 mi
Multi-Specialty
787 PARKWAY DR
Salyersville, KY 41465
  • Reassigned Medicare billing, Kentucky enrollment
  • 242 clinicians in this Medicare group
NPI 1942962105 (606) 349-3511

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

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 with moderate level of decision making, if using time, 30 minutes or more 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.
43 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Highlands Arh Regional Medical Center

Acute Care Hospitals · Prestonsburg, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180005
Location5000 Kentucky Route 321Prestonsburg, KY 41653 · Floyd County
Emergency services Birthing friendly

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Harlan Arh Hospital

Acute Care Hospitals · Harlan, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180050
Location81 Ball Park RoadHarlan, KY 40831 · Harlan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40831 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

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.

MICHELLE RENEE SCEARSE APRN
Nurse Practitioner (Family)
37 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-4520
RACHEL WILSON APRN
Nurse Practitioner (Family)
37 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-4520
MISTY RENEE TURNER ARNP
Nurse Practitioner
37 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 543-4520
VANESSA LEE JACO CRNP
Nurse Practitioner (Acute Care)
37 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-4520
MELODY SMITH
Registered Nurse
37 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-4520
JOSE ECHEVERRIA MD
Internal Medicine
37 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-4520
JERRY WILLIAM MCROBERTS M.D.
Urology
37 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 574-8423
DR. GREGORY LYNN CARPENTER M.D.
Surgery
37 BALL PARK RD
HARLAN, KY 40831
Harlan County (606) 573-4520

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 Kamlesh Sajnani's NPI number?

The NPI number for Kamlesh Sajnani is 1730490152. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Kamlesh Sajnani located?

Kamlesh Sajnani practices at 37 Ball Park Rd, Harlan, KY 40831. The listed phone number is (606) 573-4520.

What is Kamlesh Sajnani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Kamlesh Sajnani enrolled in Medicare?

Yes. Kamlesh Sajnani 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 organizations bill Medicare for Kamlesh Sajnani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kamlesh Sajnani reassigns Medicare benefits to 3 organizations: Appalachian Regional Healthcare, Inc (Harlan, KY), Arh Mary Breckinridge Health Services, Inc. (Hyden, KY) and Arh Tug Valley Health Services, Inc. (Salyersville, KY). Each 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 Kamlesh Sajnani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kamlesh Sajnani accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Kamlesh Sajnani 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 Kamlesh Sajnani affiliated with any hospitals?

According to CMS data, Kamlesh Sajnani is affiliated with Highlands Arh Regional Medical Center, Middlesboro Arh Hospital and Harlan Arh Hospital.

When was this NPI record last updated?

The NPPES record for Kamlesh Sajnani was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.