Dr Sanjay Kumar, DO - Medicare Physical Medicine And Rehabilitation in Sheffield Village, OH

  1. Home
  2. Pain Medicine
  3. OH
  4. Sheffield Village
Dr Sanjay Kumar, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Sheffield Village, Ohio. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Mercy Health Physicians Lorain Specialty Care Llc and his current practice location is 5319 Hoag Dr, Suite 100, Sheffield Village, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 930-6015.

Dr Sanjay Kumar is licensed to practice in Ohio (license number 34008864) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740267244.

Contact Information

Dr Sanjay Kumar, DO
5319 Hoag Dr, Suite 100,
Sheffield Village, OH 44035-1494
(440) 930-6015
(440) 930-6094

Map and Direction




Physician's Profile

Full NameDr Sanjay Kumar
GenderMale
SpecialityPhysical Medicine And Rehabilitation
Experience24 Years
Location5319 Hoag Dr, Sheffield Village, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sanjay Kumar attended and graduated from Michigan State University College Of Osteopathic Medicine in 2000
  NPI Data:
  • NPI Number: 1740267244
  • Provider Enumeration Date: 12/27/2005
  • Last Update Date: 10/30/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6608847595
  • Enrollment ID: I20070123000217

Medical Identifiers

Medical identifiers for Dr Sanjay Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740267244NPI-NPPES
2711873MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0014XPain Medicine - Interventional Pain Medicine 34008864 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Regional Medical CenterLorain, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Health Physicians Lorain Specialty Care Llc4688070055115

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sanjay Kumar allows following entities to bill medicare on his behalf.
Entity NameNeurospinecare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790743540
PECOS PAC ID: 4385633635
Enrollment ID: O20040511000743
Entity NameMercy Health Physicians Lorain Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023347192
PECOS PAC ID: 1355474172
Enrollment ID: O20100730000651
Entity NameMercy Health Physicians Lorain Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972126381
PECOS PAC ID: 4688070055
Enrollment ID: O20210909003432

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sanjay Kumar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sanjay Kumar, DO
5319 Hoag Dr, Suite 100,
Sheffield Village, OH 44035-1494

Ph: (440) 930-6015		Dr Sanjay Kumar, DO
5319 Hoag Dr, Suite 100,
Sheffield Village, OH 44035-1494

Ph: (440) 930-6015

Reviews and Comments


Pain Medicine Doctors in Sheffield Village, OH

Dr. Joanne Holiday, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5319 Hoag Dr, Suite 100, Sheffield Village, OH 44035
Phone: 440-930-6015    Fax: 440-930-6094
Dr. Parshotam C Gupta, M.D.
Pain Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5319 Hoag Dr, Suite 100, Sheffield Village, OH 44035
Phone: 440-930-6015    Fax: 440-930-6094

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.