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Active NPI 1750359840 Individual Practitioner Male Practitioner

Dr. Sambhab Kumar , MD

Internal Medicine • Dover, DE

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sambhab Kumar, MD is a certified Internal Medicine practicing in Dover, DE. With approximately 35 years of clinical experience since completing medical education in 1991, Dr. Kumar delivers high-quality medical care to the local community at 874 WALKER RD.

Dr. Kumar is affiliated with Bayhealth Medical Center, Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

874 Walker Rd

Dover, DE 199042778

Telephone 3027345438
Fax 3027342297
Associated Practice Facility / Clinic
🏢 Tp Indira Md Pa Facility NPI 1225061278

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dover, DE

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
35 Yrs +11.1 yrs vs City Avg
City Avg: 23.9 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
47 Specialists

Practicing in Dover, DE (625 Statewide)

Telehealth Adoption Rate
17.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
42.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (35 Years) 35 Yrs
Dover Specialty Average (23.9 Years) 23.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
602 193 $240.00 $125.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
278 55 $120.00 $76.42
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician
207 207 $122.26 $20.30
99213 Established patient office or other outpatient visit, typically 15 minutes
140 59 $140.00 $88.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
138 138 $170.00 $127.12
G0444 Annual depression screening, 5 to 15 minutes
132 132 $30.00 $18.49
99442 Telephone medical discussion with physician, 11-20 minutes
126 71 $140.00 $87.39
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
108 33 $150.00 $102.58
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
87 20 $125.00 $72.66
11042 Removal of skin and tissue, 20.0 sq cm or less
73 18 $170.00 $126.25
99239 Hospital discharge day management, more than 30 minutes
59 42 $145.00 $111.00
G0008 Administration of influenza virus vaccine
52 49 $45.00 $31.89
90662 Influenza vaccine split virus, preservative free
51 48 $82.35 $75.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
41 13 $240.00 $94.78
11042 Removal of skin and tissue, 20.0 sq cm or less
37 13 $170.00 $59.16
93000 Routine ekg using at least 12 leads including interpretation and report
32 31 $60.00 $14.04
99496 Transitional care management services for problem of high complexity
31 26 $360.00 $274.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
29 29 $275.00 $163.45
99213 Established patient office or other outpatient visit, typically 15 minutes
26 13 $140.00 $64.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
21 18 $270.00 $168.21
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
20 16 $250.00 $129.82
99497 Advance care planning, first 30 minutes
19 19 $205.00 $80.25

Medical Specialties & State Licenses

CMS Verified: 2022-07-05
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License DE C10004842

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0000777801 (DE)
Commercial Insurance / Payer ID Railroad Medicare
CG1178

Hospital & Practice Group Affiliations

Bayhealth Medical Center, Inc

640 S State St, Dover, DE 199013530

Phone: 3027447000

Bayhealth Medical Center, Inc

100 Wellness Way, Milford, DE 199634364

Phone: 3024305738

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 03, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2007

Registered at 874 WALKER RD, DOVER, DE 199042778 (Tel: 3027345438)

📍
Updated Business Mailing Address December 03, 2007

Registered at 874 WALKER RD, DOVER, DE 199042778 (Tel: 3027345438)

👤
Provider Name / Credentials Updated December 03, 2007

Recorded as SAMBHAB KUMAR, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2007

Internal Medicine (License #C10004842 in DE)

🟢
Initial NPI Registration & Enumeration March 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750359840
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2006
Last Update: July 05, 2022
Sole Proprietor: No

Mailing Address

874 Walker Rd

Dover, DE 199042778

Phone: 3027345438

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.