DR. SANJAY KUMAR D.O.
NPI 1740267244
Pain Medicine - Interventional Pain Medicine in Sheffield Village, OH

Q: What is Sanjay Kumar's NPI number?

The NPI number for Sanjay Kumar is 1740267244. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Q: What is Sanjay Kumar's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for Sanjay Kumar was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 December 27, 2005PECOS EnrolledAccepts Medicare Assignment

5319 HOAG DR, SUITE 100, SHEFFIELD VILLAGE, OH 44035(440) 930-6015(440) 930-6094 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2025, Oct 30, 2017 (2 updates tracked since 2017).

On this page

About Dr. Sanjay Kumar D.o. NPPES

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

DR. SANJAY KUMAR D.O. (NPI 1740267244) is an individual interventional pain medicine provider in Sheffield Village, Ohio, licensed in Ohio (34008864) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center-southern Campus, and is a graduate of Michigan State University College Of Osteopathic Medicine (2000).

NPPES Registry Identity

NPI1740267244

Entity TypeIndividualMale

Primary Taxonomy208VP0014X

Provider Legal NameDR. SANJAY KUMARCredential: D.O.

Location Address5319 HOAG DR, SUITE 100Sheffield Village, OH 44035-1494

Mailing Address5319 Hoag Dr Ste 100Sheffield Village, OH 44035-1492 · (440) 930-6015 · Fax (440) 930-6094

Phone(440) 930-6015

Fax(440) 930-6094

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2000

Enumeration DateDecember 27, 2005

Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration

NPPES CertifiedNovember 11, 2025

✔ NPI 1740267244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in OH · 34008864

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 34.008864 (OH)

5319 HOAG DR, Sheffield Village, OH 44035

Open in Google Maps ↗

Other Identifiers 1

Medicaid2711873OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Sanjay Kumar D.o. 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 ID6608847595

PECOS Enrollment IDI20070123000217

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

Mercy Health Physicians Lorain, LLC

8.5 mi

Family Medicine

3700 KOLBE RD
Lorain, OH 44053

Reassigned Medicare billing, Ohio enrollment
151 clinicians in this Medicare group

NPI 1023347192 (440) 988-1009

Mercy Health Physicians Lorain Specialty Care LLC

8.5 mi

Surgery

3700 KOLBE RD
Lorain, OH 44053

Reassigned Medicare billing, Ohio enrollment
227 clinicians in this Medicare group

NPI 1972126381 (440) 988-1009

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 32

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

270 services29 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

236 services94 patients

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.

96 services50 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

86 services52 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

55 services35 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

54 services51 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

51 services33 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

49 services46 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

48 services30 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

48 services30 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

43 services43 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

40 services40 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

37 services30 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

36 services28 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

34 services26 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

34 services30 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

32 services29 patients

Aspiration and/or injection of fluid from large joint 20610

29 services26 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

29 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

29 services25 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

28 services17 patients

Fluoroscopic guidance for needle placement 77002

28 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

28 services28 patients

Injection of upper or middle spine facet joint using imaging guidance, second level 64491

This procedure involves injecting medication into the upper or middle spine facet joint, a small joint in your back. This is done under imaging guidance for precision. It's a second-level procedure, meaning it's done on two separate joints. It can help reduce pain and inflammation.

27 services17 patients

Injection of upper or middle spine facet joint using imaging guidance, second level 64491

26 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

23 services23 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

20 services16 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

15 services14 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

15 services15 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

14 services14 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint 64634

This procedure involves the use of imaging technology to accurately target and destroy nerves in the upper or middle spinal facet joints, which may be causing pain. Each additional facet joint treated follows the same process.

14 services14 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint 64634

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310084

Location600 River AveLakewood, NJ 08701 · Ocean County

Emergency services

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360145

Location630 East River StreetElyria, OH 44035 · Lorain County

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360172

Location3700 Kolbe RoadLorain, OH 44053 · Lorain County

Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44035 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

DR. JOANNE HOLIDAY M.D.

Pain Medicine (Interventional Pain Medicine)

5319 HOAG DR, SUITE 100
SHEFFIELD VILLAGE, OH 44035

Lorain County (440) 930-6015

DR. SUNJAY MATHUR M.D.

Physical Medicine & Rehabilitation (Pain Medicine)

5319 HOAG DR, SUITE 100
SHEFFIELD VILLAGE, OH 44035

Lorain County (440) 930-6015

THE CLEVELAND CLINIC FOUNDATION

General Practice

5319 HOAG DR, STE 120
SHEFFIELD VILLAGE, OH 44035

Lorain County (216) 444-2273

CHARLES I CHOI MD

Anesthesiology (Pain Medicine)

5319 HOAG DR, SUITE 100
SHEFFIELD VILLAGE, OH 44035

Lorain County (440) 930-6015

DR. PARSHOTAM C GUPTA M.D.

Pain Medicine (Pain Medicine)

5319 HOAG DR, SUITE 100
SHEFFIELD VILLAGE, OH 44035

Lorain County (440) 930-6015

DR. GALE A HAZEN M.D.

Neurological Surgery

5319 HOAG DR, SUITE 100
SHEFFIELD VILLAGE, OH 44035

Lorain County (440) 930-6015

REBECCA SUIT NP

Nurse Practitioner (Family)

5319 HOAG DR, SUITE 100
SHEFFIELD VILLAGE, OH 44035

Lorain County (440) 930-6040

REBECCA CHRISTINE DOUBLER MD

Anesthesiology

5319 HOAG DR
SHEFFIELD VILLAGE, OH 44035

Lorain County (440) 930-6050

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 Sanjay Kumar's NPI number?

The NPI number for Sanjay Kumar is 1740267244. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Sanjay Kumar located?

Sanjay Kumar practices at 5319 Hoag Dr Suite 100, Sheffield Village, OH 44035. The listed phone number is (440) 930-6015.

What is Sanjay Kumar's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Sanjay Kumar enrolled in Medicare?

Yes. Sanjay 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 organizations bill Medicare for Sanjay Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Kumar reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Lorain, LLC (Lorain, OH) and Mercy Health Physicians Lorain Specialty Care LLC (Lorain, OH). 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 Sanjay Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanjay Kumar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 5 other insurers list Sanjay 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 Sanjay Kumar affiliated with any hospitals?

According to CMS data, Sanjay Kumar is affiliated with Monmouth Medical Center-Southern Campus, University Hospitals - Elyria Medical Center, Mercy Regional Medical Center and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Sanjay Kumar was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.