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

SANJAY KUMAR M.D.
NPI 1851082655
Internal Medicine - Cardiovascular Disease in Birmingham, AL

Active since May 15, 2023PECOS Enrolled
1201 11TH AVE S, BIRMINGHAM, AL 35205(205) 930-7100 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 13, 2026, Dec 15, 2023, May 15, 2023 (3 updates tracked since 2023).

About Sanjay Kumar M.d. NPPES

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

SANJAY KUMAR M.D. (NPI 1851082655) is an individual cardiovascular disease provider in Birmingham, Alabama, licensed in Alabama (54116) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851082655
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSANJAY KUMARCredential: M.D.
Location Address1201 11TH AVE SBirmingham, AL 35205-3410
Mailing AddressPo Box 55310Birmingham, AL 35255-5310
Sole ProprietorNo
Enumeration DateMay 15, 2023
Last NPPES UpdateOctober 13, 20263 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1851082655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in AL · 54116
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1201 11TH AVE S, Birmingham, AL 35205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanjay Kumar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
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.

Nurse Practitioner (Acute Care)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Anesthesiology
1201 11TH AVE S
BIRMINGHAM, AL 35205
Nurse Practitioner (Family)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse (Critical Care Medicine)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205

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 1851082655. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Sanjay Kumar located?

Sanjay Kumar practices at 1201 11th Ave S, Birmingham, AL 35205. The listed phone number is (205) 930-7100.

What is Sanjay Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sanjay Kumar enrolled in Medicare?

Yes. Sanjay Kumar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sanjay Kumar was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.