DR. SANJAY PRAKASH SINHA MD
NPI 1881985349
Pediatrics - Pediatric Cardiology in Orange, CA

Active since May 02, 2011PECOS EnrolledAccepts Medicare Assignment
1140 W LA VETA AVE STE 750, ORANGE, CA 92868(714) 581-4401 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2023, Oct 20, 2017 (2 updates tracked since 2017).

About Dr. Sanjay Prakash Sinha Md NPPES

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

DR. SANJAY PRAKASH SINHA MD (NPI 1881985349) is an individual pediatric cardiology provider in Orange, California, licensed in California (A125893) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of University Of Arizona College Of Medicine (2011).

NPPES Registry Identity

NPI1881985349
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. SANJAY PRAKASH SINHACredential: MD
Location Address1140 W LA VETA AVE STE 750Orange, CA 92868-4217
Mailing Address1140 W La Veta AveOrange, CA 92868-4225 · (714) 581-4401
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2011
Enumeration DateMay 2, 2011
Last NPPES UpdateMay 15, 20232 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
✔ NPI 1881985349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in CA · A125893
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1140 W LA VETA AVE STE 750, Orange, CA 92868

Secondary Practice Location 1

Location 13020 Childrens WaySan Diego, CA 92123-4223 · Phone (858) 966-5855

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 Prakash Sinha 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 ID4082984265
PECOS Enrollment IDI20170720001561
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

4

Medicare enrollment records show Sanjay Sinha reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1201 W LA VETA AVE
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Of Orange County
  • 190 clinicians in this Medicare group
Pediatrics
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 143 clinicians in this Medicare group
Pediatrics
200 UCLA MEDICAL PLAZA, SUITE 265
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 323 clinicians in this Medicare group
Pediatrics
3020 CHILDRENS WAY
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 562 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sinha's NPI number?

The NPI number for Sanjay Sinha is 1881985349. It was assigned to this individual provider in the NPPES registry on May 2, 2011.

Where is Sanjay Sinha located?

Sanjay Sinha practices at 1140 W La Veta Ave Ste 750, Orange, CA 92868. The listed phone number is (714) 581-4401.

What is Sanjay Sinha's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Sanjay Sinha enrolled in Medicare?

Yes. Sanjay Sinha 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 Sinha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Sinha reassigns Medicare benefits to 4 organizations: Children's Hospital Of Orange County (Orange, CA), Uc Regents Uci Dept Of Pediatrics (Orange, CA), Uc Regents (Los Angeles, CA) and Rady Children's Hospital San Diego (San Diego, CA). 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 Sinha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sanjay Sinha was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.