SANDEEP KUMAR MD
NPI 1952715864
Hospitalist in Rochester, NY
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
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
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
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.
Medicare Billing Reassignments
6Medicare enrollment records show Sandeep Kumar reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14621
- Reassigned Medicare billing, New York enrollment
- 2,285 clinicians in this Medicare group
Rochester, NY 14617
- Reassigned Medicare billing, New York enrollment
- 1,442 clinicians in this Medicare group
Newark, NY 14513
- Reassigned Medicare billing, New York enrollment
- 679 clinicians in this Medicare group
Clifton Springs, NY 14432
- Reassigned Medicare billing, New York enrollment
- 872 clinicians in this Medicare group
Batavia, NY 14020
- Reassigned Medicare billing, New York enrollment
- 782 clinicians in this Medicare group
Madison, NC 27025
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Novant Health Medical Group, LLC
- 2,998 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.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Newark-Wayne Community Hospital
Acute Care Hospitals · Newark, NYRochester General Hospital
Acute Care Hospitals · Rochester, NYNovant Health Forsyth Medical Center
Acute Care Hospitals · Winston-Salem, NCPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Sandeep Kumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Kumar reassigns Medicare benefits to 6 organizations: Rochester General Hospital (Rochester, NY), The Unity Hospital Of Rochester (Rochester, NY), Newark Wayne Community Hospital (Newark, NY), Clifton Springs Sanitarium Co (Clifton Springs, NY), United Memorial Medical Center (Batavia, NY) and 1 more organization, listed in the Medicare section above. 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 Sandeep Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandeep Kumar accept?
Health plans from Cigna Healthcare list Sandeep 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 Sandeep Kumar affiliated with any hospitals?
According to CMS data, Sandeep Kumar is affiliated with Newark-Wayne Community Hospital, Rochester General Hospital and Novant Health Forsyth Medical Center.
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 4 months 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.
# Sandeep Kumar, MD · NPI 1952715864
Hospitalist physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since June 18, 2014.
## Identity
- **NPI:** 1952715864 (Entity type: Individual)
- **Enumerated:** June 18, 2014
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 289597 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1425 PORTLAND AVE, Rochester, NY 14621-3001
- **Phone:** (585) 922-5067
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Rochester General Hospital (NPI 1063531929, Rochester, NY); The Unity Hospital Of Rochester (NPI 1457395766, Rochester, NY); Newark Wayne Community Hospital (NPI 1346369212, Newark, NY); Clifton Springs Sanitarium Co (NPI 1366505463, Clifton Springs, NY); United Memorial Medical Center (NPI 1669747085, Batavia, NY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** June 25, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1952715864) · Data from the CMS NPPES public registry.