Dr Sanjay Kumar, MD - Medicare Orthopedic Surgery in Fresno, CA

Dr Sanjay Kumar, MD is a medicare enrolled "Orthopaedic Surgery" physician in Fresno, California. He went to Columbia University College Of Physicians And Surgeons and graduated in 1998 and has 26 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 7300 N Fresno St, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 448-4580.

Dr Sanjay Kumar is licensed to practice in California (license number A104866) 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 1518948108.

Contact Information

Dr Sanjay Kumar, MD
7300 N Fresno St,
Fresno, CA 93720-2941
(559) 448-4580
(559) 448-4075

Map and Direction




Physician's Profile

Full NameDr Sanjay Kumar
GenderMale
SpecialityOrthopedic Surgery
Experience26 Years
Location7300 N Fresno St, Fresno, California
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 Columbia University College Of Physicians And Surgeons in 1998
  NPI Data:
  • NPI Number: 1518948108
  • Provider Enumeration Date: 11/10/2005
  • Last Update Date: 12/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7911936950
  • Enrollment ID: I20081110000070

Medical Identifiers

Medical identifiers for Dr Sanjay Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518948108NPI-NPPES
ME93542OtherFLMEDICAL LICENSE
A104866OtherCAMEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery A104866 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Foundation Hospital - FresnoFresno, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc89219102258376

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 NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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, MD
7300 N Fresno St,
Fresno, CA 93720-2941

Ph: (559) 448-4580
Dr Sanjay Kumar, MD
7300 N Fresno St,
Fresno, CA 93720-2941

Ph: (559) 448-4580

Reviews and Comments


Orthopaedic Surgery Doctors in Fresno, CA

Eric Hanson, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1630 E Herndon Ave, Fresno, CA 93720
Phone: 559-256-5200    Fax: 559-256-5376
Dr. Robert Michele Mochizuki, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 7255 N Cedar Ave, Suite 102, Fresno, CA 93720
Phone: 559-433-3374    Fax: 559-432-3378
Paramjeet Gill, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1630 E Herndon Ave, Fresno, CA 93720
Phone: 559-256-5200    Fax: 559-256-5376
Jerome R Dunklin, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1630 E Herndon Ave, Fresno, CA 93720
Phone: 559-256-5200    Fax: 559-256-5376
Dr. Samia Abdul Ghaffar, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 45 E River Park Pl W Ste 104, Fresno, CA 93720
Phone: 559-320-0530    Fax: 559-320-0532
William Timothy Brox, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 7300 N Fresno St, Fresno, CA 93720
Phone: 559-448-4500    
Edward A Lembert, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 7235 N 1st St, Suite 103, Fresno, CA 93720
Phone: 559-432-2600    Fax: 559-432-8518

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.