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SONAM ANIL KUMAR PA-C
NPI 1922546944
Physician Assistant in Boston, MA

Active since February 09, 2017PECOS EnrolledAccepts Medicare Assignment
800 WASHINGTON STREET, SOUTH BUILDING, 3RD FLOOR, BOSTON, MA 02111(619) 994-7133 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 24, 2017, May 15, 2017 and 1 more (4 updates tracked since 2017).

About Sonam Anil Kumar Pa-c NPPES

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

SONAM ANIL KUMAR PA-C (NPI 1922546944) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA6100) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Tufts University School Of Medicine (2017).

NPPES Registry Identity

NPI1922546944
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSONAM ANIL KUMARCredential: PA-C
Location Address800 WASHINGTON STREET, SOUTH BUILDING, 3RD FLOORBoston, MA 02111
Mailing Address800 Washington Street, #599, South Building, 3rd FloorBoston, MA 02111 · (619) 994-7133
Phone(619) 994-7133
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2017
Enumeration DateFebruary 9, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1922546944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA6100
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
800 WASHINGTON STREET, Boston, MA 02111
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Sonam Anil Kumar Pa-c 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 ID941571293
PECOS Enrollment IDI20190418000429
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
32 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

VANJA TOLJ
Anesthesiology
800 WASHINGTON STREET, #298 ZISKIND BUILDING, 6TH FLOOR
CINCINNATI, MA 02111
Suffolk County (330) 645-5522
FABIOLA ANDREINA REYES CURCIO
Pathology (Anatomic Pathology & Clinical Pathology)
800 WASHINGTON STREET, #802
BOSTON, MA 02111
Suffolk County (617) 636-8006
NIKOLAY BUGAEV M.D.
Surgery (Surgical Critical Care)
800 WASHINGTON STREET
BOSTON, MA 02111
Suffolk County (617) 636-5000
DR. MOHAMMED ABDULLAH BAWAZEER MD
Surgery
800 WASHINGTON STREET, DEPARTMENT OF SURGERY, DIVISION OF TRAUMA SURGERY
BOSTON, MA 02111
Suffolk County (617) 636-4488
DR. MICHAELA MARGOLIS DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
800 WASHINGTON STREET
BOSTON, MA 02111
Suffolk County (617) 636-7820
DAWIT WORKU KASSA
Obstetrics & Gynecology
800 WASHINGTON STREET
BOSTON, MA 02111
Suffolk County (617) 636-2229
GERARDINA BUETI PA-C
Physician Assistant
800 WASHINGTON STREET
BOSTON, MA 02111
Suffolk County (617) 636-5590
LAUREN GUSS LICSW
Social Worker (Clinical)
800 WASHINGTON STREET
BOSTON, MA 02111
Suffolk County (617) 636-4174

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 Sonam Kumar's NPI number?

The NPI number for Sonam Kumar is 1922546944. It was assigned to this individual provider in the NPPES registry on February 9, 2017.

Where is Sonam Kumar located?

Sonam Kumar practices at 800 Washington Street South Building, 3rd Floor, Boston, MA 02111. The listed phone number is (619) 994-7133.

What is Sonam Kumar's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sonam Kumar enrolled in Medicare?

Yes. Sonam 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 Sonam Kumar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sonam 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 Sonam Kumar affiliated with any hospitals?

According to CMS data, Sonam Kumar is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Sonam Kumar was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.