Individual provider Active NPI

Sambhab Kumar, MD

  • Internal Medicine Physician
  • Dover, DE
National Provider Identifier
1750359840
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10004842 Issued in DE
Practice address
874 Walker Rd
Dover, DE 19904-2778
Phone
(302) 734-5438
Fax
(302) 734-2297
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C10004842 DE Primary

Addresses

Primary practice location

874 Walker Rd
Dover, DE 19904-2778

Mailing address

874 Walker Rd
Dover, DE 19904-2778
Phone (302) 734-5438

Other identifiers 2

IdentifierTypeStateIssuer
CG1178OtherRAILROAD MEDICARE
0000777801MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110714000086 DE Practitioner - Internal Medicine 8022906627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Bayhealth Hospital Sussex Campus
Milford, DE 19963-4364
Phone (302) 430-5738

640 S State St
Kent Campus
Dover, DE 19901-3530
Phone (302) 744-7000

874 Walker Rd
Suite B
Dover, DE 19904-2778
Phone (302) 734-5438

Hospital & facility affiliations

  • Bayada Home Health Care at Bayhealth Home health agency, Dover, DE, CCN 087024
  • Amedisys Delaware, LLC Home health agency, Dover, DE, CCN 087007
  • Christianacare Homehealth Home health agency, Camden, DE, CCN 087301
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Bay Terrace Rehabilitation and Health Center Nursing home, Dover, DE, CCN 085019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue136
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
TP Indira MD PA Internal Medicine CurrentSince Sep 1, 1997 Accepting new patients
Courtland Manor Inc. Past Accepting new patients
Bay Terrace Rehabilitation and Healthcare Center LLC Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

874 Walker Rd
Ste B
Dover, DE 19904
Phone (302) 632-8381

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1750359840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 WALKER RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042778",
            "telephone_number": "302-734-5438",
            "fax_number": "302-734-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 WALKER RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042778",
            "telephone_number": "302-734-5438",
            "fax_number": "302-734-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SAMBHAB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10004842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG1178",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000777801",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.