SARWAN KUMAR MD
NPI 1760772362
Internal Medicine in Sterling Heights, MI

Active since April 15, 2011PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
37771 SCHOENHERR RD, SUITE 104, STERLING HEIGHTS, MI 48312(248) 601-6945(586) 264-0341 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sarwan Kumar Md NPPES

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

SARWAN KUMAR MD (NPI 1760772362) is an individual internal medicine provider in Sterling Heights, Michigan, licensed in Michigan (4301091839) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Rochester Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1760772362
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSARWAN KUMARCredential: MD
Location Address37771 SCHOENHERR RD, SUITE 104Sterling Heights, MI 48312-2302
Mailing Address1560 E. Maple Rd., Suite 400-credentialingTroy, MI 48083-1138 · (248) 581-5972 · Fax (248) 581-5640
Fax(586) 264-0341
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 15, 2011
Last NPPES UpdateApril 7, 2016
NPI 1760772362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301091839
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.

37771 SCHOENHERR RD, Sterling Heights, MI 48312

Other Identifiers 1

Medicare PIN0P30630746MI

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

Sarwan 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 ID5799963260
PECOS Enrollment IDI20110705000243
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 6

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.

Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services36 patients
Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services22 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
30 services30 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
30 services30 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services13 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48312 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.99
Promoting Interoperability100
Improvement Activities40
Cost60.82

Reported Quality Measures

Colorectal Cancer Screening
74%106 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
91%77 patients5/55-star benchmark: 91%
Diabetes: Eye Exam
40%35 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
17%35 patients4/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
93%182 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%205 patients2/55-star benchmark: 61%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
37771 SCHOENHERR RD, SUITE 101
STERLING HEIGHTS, MI 48312
Internal Medicine (Cardiovascular Disease)
37771 SCHOENHERR RD, SUITE 103
STERLING HEIGHTS, MI 48312
Internal Medicine (Cardiovascular Disease)
37771 SCHOENHERR RD, SUITE 101
STERLING HEIGHTS, MI 48312
Internal Medicine (Cardiovascular Disease)
37771 SCHOENHERR RD, SUITE 101
STERLING HEIGHTS, MI 48312
Physician Assistant (Medical)
37771 SCHOENHERR RD, SUITE 101
STERLING HEIGHTS, MI 48312
Family Medicine
37771 SCHOENHERR RD, SUITE 102
STERLING HEIGHTS, MI 48312
Clinic/Center (Urgent Care)
37771 SCHOENHERR RD, STE 102
STERLING HEIGHTS, MI 48312
Pharmacist
37771 SCHOENHERR RD
STERLING HEIGHTS, MI 48312

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 Sarwan Kumar's NPI number?

The NPI number for Sarwan Kumar is 1760772362. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Where is Sarwan Kumar located?

Sarwan Kumar practices at 37771 Schoenherr Rd Suite 104, Sterling Heights, MI 48312. The listed phone number is (248) 601-6945.

What is Sarwan Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sarwan Kumar enrolled in Medicare?

Yes. Sarwan 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 Sarwan Kumar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Sarwan 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 Sarwan Kumar affiliated with any hospitals?

According to CMS data, Sarwan Kumar is affiliated with Ascension Providence Rochester Hospital.

When was this NPI record last updated?

The NPPES record for Sarwan Kumar was last updated on April 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.