Dr Sanjay Kumar, MD - Medicare Pediatrics in Detroit, MI

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Dr Sanjay Kumar, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Detroit, Michigan. His current practice location is 22201 Moross Road, Suite 270, Pbii, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 343-3481.

Dr Sanjay Kumar is licensed to practice in Michigan (license number 4301096546) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457665671.

Contact Information

Dr Sanjay Kumar, MD
22201 Moross Road, Suite 270, Pbii,
Detroit, MI 48236
(313) 343-3481
(313) 343-7937

Map and Direction




Physician's Profile

Full NameDr Sanjay Kumar
GenderMale
SpecialityPediatrics - Pediatric Gastroenterology
Location22201 Moross Road, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457665671
  • Provider Enumeration Date: 07/29/2010
  • Last Update Date: 11/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6002057445
  • Enrollment ID: I20200122000553

Medical Identifiers

Medical identifiers for Dr Sanjay Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457665671NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0206XPediatrics - Pediatric Gastroenterology 4301096546 (Michigan)Primary

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 NameAscension Macomb Oakland Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134176472
PECOS PAC ID: 7315859725
Enrollment ID: O20031107000047
Entity NameAscension St John Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043478910
PECOS PAC ID: 3173424082
Enrollment ID: O20040115000409

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
22201 Moross Road, Suite 270, Pbii,
Detroit, MI 48236

Ph: (313) 343-3481		Dr Sanjay Kumar, MD
22201 Moross Road, Suite 270, Pbii,
Detroit, MI 48236

Ph: (313) 343-3481

Reviews and Comments


Pediatrics Doctors in Detroit, MI

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Dr. Rupa Thacker, M.D
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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).

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