Active NPI
Sanjeev Kumar, M.D.
- Psychiatry Physician
- Roanoke, VA
National Provider Identifier
1265698930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0116020075
- Practice address
- 5400 Bernard Dr
F-205
Roanoke, VA 24018-0929 - Phone
- (540) 765-2268
- NPI assigned
- Aug 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0116020075 | VA | Primary |
Addresses
Primary practice location
5400 Bernard Dr
F-205
Roanoke, VA 24018-0929
Mailing address
1970 Roanoke Blvd
116A7
Salem, VA 24153-6404
Phone (540) 982-2463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116020075 | VA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217548800000",
"number": "1265698930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 ROANOKE BLVD",
"address_2": "116A7",
"city": "SALEM",
"state": "VA",
"postal_code": "241536404",
"telephone_number": "540-982-2463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 BERNARD DR",
"address_2": "F-205",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240180929",
"telephone_number": "540-765-2268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "SANJEEV",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-01",
"last_updated": "2008-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0116020075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.