SANJALI KUMAR MD
NPI 1972009033
Psychiatry & Neurology - Psychiatry in Middleboro, MA
About Sanjali Kumar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANJALI KUMAR MD (NPI 1972009033) is an individual psychiatry provider in Middleboro, Massachusetts, licensed in Massachusetts (294348) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Creighton University School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Sanjali 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 Reassignment
Medicare enrollment records show Sanjali Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Belmont, MA 02478
- Reassigned Medicare billing, Massachusetts enrollment
- 422 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02346 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.
MIDDLEBORO, MA 02346
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 Sanjali Kumar's NPI number?
The NPI number for Sanjali Kumar is 1972009033. It was assigned to this individual provider in the NPPES registry on April 5, 2018.
Where is Sanjali Kumar located?
Sanjali Kumar practices at 52 Oak St, Middleboro, MA 02346. The listed phone number is (774) 419-1039.
What is Sanjali Kumar's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Sanjali Kumar enrolled in Medicare?
Yes. Sanjali 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 organization bills Medicare for Sanjali Kumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sanjali Kumar reassigns Medicare benefits to The Mclean Hospital Corporation (Belmont, MA). The 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 Sanjali Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sanjali Kumar accept?
Health plans from Anthem Blue Cross and Blue Shield list Sanjali 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.
When was this NPI record last updated?
The NPPES record for Sanjali Kumar was last updated on July 28, 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.
# Sanjali Kumar, MD · NPI 1972009033
Psychiatry physician in Middleboro, Massachusetts. Individual provider, active in the CMS NPPES registry since April 5, 2018.
## Identity
- **NPI:** 1972009033 (Entity type: Individual)
- **Enumerated:** April 5, 2018
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 294348 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 52 OAK ST, Middleboro, MA 02346-2078
- **Phone:** (774) 419-1039
## 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:** The Mclean Hospital Corporation (NPI 1114979580, Belmont, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** July 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1972009033) · Data from the CMS NPPES public registry.