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

SANDEEP KUMAR MD
NPI 1952715864
Hospitalist in Rochester, NY

Active since June 18, 2014PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-5067 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2022, May 16, 2021, Dec 10, 2018 and 2 more (5 updates tracked since 2017).

About Sandeep Kumar Md NPPES

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

SANDEEP KUMAR MD (NPI 1952715864) is an individual hospitalist provider in Rochester, New York, licensed in New York (289597) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Newark-wayne Community Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1952715864
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSANDEEP KUMARCredential: MD
Location Address1425 PORTLAND AVERochester, NY 14621-3001
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-0553
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 18, 2014
Last NPPES UpdateJune 25, 20265 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
NPI 1952715864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in NY · 289597 Licensed in NC · 2026-01502
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 289597 (NY), 2026-01502 (NC)
1425 PORTLAND AVE, Rochester, NY 14621

Secondary Practice Locations 3

Location 11200 Driving Park AveNewark, NY 14513-1090 · Phone (315) 359-2847 · Fax (315) 359-2806
Location 22 Coulter RdClifton Springs, NY 14432-1122 · Phone (315) 462-1472 · Fax (315) 462-2639
Location 33333 Silas Creek PkwyWinston Salem, NC 27103-3013 · Phone (336) 718-8389

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

Sandeep 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 ID1355613605
PECOS Enrollment IDI20170821002440
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.
208 services80 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.
124 services61 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
58 services58 patients

Hospital Affiliations CMS Care Compare 2

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

Newark-Wayne Community Hospital

Acute Care Hospitals · Newark, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330030
Location111 Driving Park AvenueNewark, NY 14513 · Wayne County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621

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 Sandeep Kumar's NPI number?

The NPI number for Sandeep Kumar is 1952715864. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Sandeep Kumar located?

Sandeep Kumar practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-5067.

What is Sandeep Kumar's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sandeep Kumar enrolled in Medicare?

Yes. Sandeep 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.

Is Sandeep Kumar affiliated with any hospitals?

According to CMS data, Sandeep Kumar is affiliated with Newark-Wayne Community Hospital and Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Sandeep Kumar was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 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.