DR. SANJAY KAUL M.D.
NPI 1790713071
Specialist in Los Angeles, CA

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
63.11/100
CMS Quality Rating
8635 W 3RD ST, SUITE 790W, LOS ANGELES, CA 90048(310) 855-8081(310) 855-0438 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sanjay Kaul M.d. NPPES

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

DR. SANJAY KAUL M.D. (NPI 1790713071) is an individual specialist in Los Angeles, California, licensed in California (A45783) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1790713071
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. SANJAY KAULCredential: M.D.
Location Address8635 W 3RD ST, SUITE 790WLos Angeles, CA 90048-6101
Mailing Address8635 W 3rd St, Suite 790wLos Angeles, CA 90048-6101 · (310) 855-8081 · Fax (310) 855-0438
Fax(310) 855-0438
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateJune 28, 2006
Last NPPES UpdateMarch 25, 2014
NPI 1790713071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A45783
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.
8635 W 3RD ST, Los Angeles, CA 90048

Other Identifiers 1

Medicare UPINE42173CA

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

Dr. Sanjay Kaul M.d. 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 ID7911191788
PECOS Enrollment IDI20101105000366
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 33

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, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
6,248 services14 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
418 services182 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
417 services179 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
417 services178 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
404 services174 patients
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity 86141
The high sensitivity C-reactive protein test is a blood test that helps detect low levels of inflammation in the body. It's often used to assess the risk of heart disease but can also indicate infection or other inflammatory conditions.
400 services177 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.

63.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality60.65
Promoting Interoperability100
Improvement Activities40
Cost16.38

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
83%69 patients4/55-star benchmark: 100%
Breast Cancer Screening
42%83 patients2/55-star benchmark: 93%
Cervical Cancer Screening
23%64 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
26%222 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
66%164 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
83%30 patients4/55-star benchmark: 99%
Diabetes: Eye Exam
3%39 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
79%39 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
15%1,820 patients1/55-star benchmark: 100%
e-Prescribing
99%576 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
47%307 patients2/55-star benchmark: 100%
Functional Status Assessments for Heart Failure
0%41 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
35%474 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
21%350 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%766 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 88% · 368 patients
Patients screened: 93% · 368 patients
9%23 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%179 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 22% · 316 patients
Patients totalRate: 24% · 316 patients
20%316 patients2/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims72 services$1.80 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
8635 W 3RD ST, SUITE 465W
LOS ANGELES, CA 90048
Internal Medicine (Gastroenterology)
8635 W 3RD ST, SUITE #880
LOS ANGELES, CA 90048
Specialist
8635 W 3RD ST, 890W
LOS ANGELES, CA 90048
Specialist
8635 W 3RD ST, 450W
LOS ANGELES, CA 90048
Urology
8635 W 3RD ST, SUITE 460W
LOS ANGELES, CA 90048
Urology
8635 W 3RD ST, SUITE 1 WEST
LOS ANGELES, CA 90048
Surgery (Surgical Critical Care)
8635 W 3RD ST, SUITE 650W
LOS ANGELES, CA 90048
Specialist
8635 W 3RD ST, SUITE 890W
LOS ANGELES, CA 90048

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 Kaul's NPI number?

The NPI number for Sanjay Kaul is 1790713071. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Sanjay Kaul located?

Sanjay Kaul practices at 8635 W 3rd St Suite 790W, Los Angeles, CA 90048. The listed phone number is (310) 855-8081.

What is Sanjay Kaul's specialty?

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

Is Sanjay Kaul enrolled in Medicare?

Yes. Sanjay Kaul 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.

When was this NPI record last updated?

The NPPES record for Sanjay Kaul was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.