SANJALI KUMAR MD
NPI 1972009033
Psychiatry & Neurology - Psychiatry in Middleboro, MA

Active since April 05, 2018PECOS EnrolledAccepts Medicare Assignment
75.52/100
CMS Quality Rating
52 OAK ST, MIDDLEBORO, MA 02346(774) 419-1039 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2022, Jul 20, 2022 (2 updates tracked since 2022).

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 and is a graduate of Creighton University School Of Medicine (2018).

NPPES Registry Identity

NPI1972009033
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSANJALI KUMARCredential: MD
Location Address52 OAK STMiddleboro, MA 02346-2078
Mailing Address52 Oak StMiddleboro, MA 02346-2078 · (508) 923-5424
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2018
Enumeration DateApril 5, 2018
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
NPI 1972009033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in MA · 294348
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
52 OAK ST, Middleboro, MA 02346

Accepted 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

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.

PECOS PAC ID8426308735
PECOS Enrollment IDI20220822001383
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.

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.

New Patient
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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.

75.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.14
Promoting Interoperability100
Improvement Activities40
Cost37.61

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.

Counselor (Addiction (Substance Use Disorder))
52 OAK ST
MIDDLEBORO, MA 02346
Counselor (Addiction (Substance Use Disorder))
52 OAK ST
MIDDLEBORO, MA 02346
Psychiatry & Neurology (Psychiatry)
52 OAK ST
MIDDLEBORO, MA 02346
Student in an Organized Health Care Education/Training Program
52 OAK ST
MIDDLEBORO, MA 02346
Counselor
52 OAK ST
MIDDLEBORO, MA 02346
Nurse Practitioner (Psychiatric/Mental Health)
52 OAK ST
MIDDLEBORO, MA 02346
Social Worker (Clinical)
52 OAK ST
MIDDLEBORO, MA 02346
Psychiatry & Neurology (Psychiatry)
52 OAK ST
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.

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.