Active NPI 1225014889 Individual Practitioner Male Practitioner

Dr. Sanath Kumar , MD

Colon & Rectal Surgery • Orland Park, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sanath Kumar, MD is a certified Colon & Rectal Surgery practicing in Orland Park, IL. With approximately 54 years of clinical experience since completing medical education in 1972, Dr. Kumar delivers high-quality medical care to the local community at 9445 W 144TH PL.

Dr. Kumar accepts Medicare assignment.

Frequently performed procedures and clinical services include diagnostic examination of the anus using an endoscope, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9445 W 144th Pl

Orland Park, IL 604622543

Telephone 7084607565

Fax 7084608089

Associated Practice Facility / Clinic

🏢 Sanath Kumar, Md., Ltd. Facility NPI 1174741805

Medicare Profile & Education

Medical School

Other

Graduation Year

1972

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Orland Park, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

54 Yrs Matches City Avg

City Avg: 54.0 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

2 Specialists

Practicing in Orland Park, IL (99 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (54 Years) 54 Yrs

Orland Park Specialty Average (54.0 Years) 54.0 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
46600 Diagnostic examination of the anus using an endoscope	227	181	$220.00	$121.03
99213 Established patient office or other outpatient visit, typically 15 minutes	221	143	$150.00	$93.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	67	$110.00	$58.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$300.00	$174.60
45380 Biopsy of large bowel using an endoscope	44	44	$838.64	$181.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	39	$180.00	$132.32
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$700.00	$84.49
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$800.00	$194.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
46600 Diagnostic examination of the anus using an endoscope	237	183	$220.00	$126.30
99213 Established patient office or other outpatient visit, typically 15 minutes	217	135	$150.00	$94.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	84	$107.59	$58.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$300.00	$173.22
45380 Biopsy of large bowel using an endoscope	49	49	$854.08	$191.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	33	$180.00	$133.78
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$700.00	$90.45
45378 Diagnostic exam of large bowel using a flexible endoscope	29	28	$800.00	$193.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$350.00	$231.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
46600 Diagnostic examination of the anus using an endoscope	278	232	$220.00	$130.55
99213 Established patient office or other outpatient visit, typically 15 minutes	221	156	$138.24	$95.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	85	$100.00	$59.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$300.00	$175.53
45380 Biopsy of large bowel using an endoscope	60	59	$817.50	$182.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	41	$180.00	$135.10
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	38	$700.00	$98.74
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$800.00	$197.61
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	11	11	$1100.00	$197.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$350.00	$236.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
46600 Diagnostic examination of the anus using an endoscope	307	254	$197.69	$125.90
99213 Established patient office or other outpatient visit, typically 15 minutes	254	170	$122.44	$95.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	126	100	$81.83	$57.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$300.00	$172.13
45380 Biopsy of large bowel using an endoscope	82	82	$834.15	$183.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	43	$180.00	$135.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$700.00	$82.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$350.00	$231.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	13	$250.00	$145.13
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$800.00	$186.37
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	13	12	$1100.00	$244.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
46600 Diagnostic examination of the anus using an endoscope	298	251	$166.71	$109.11
99213 Established patient office or other outpatient visit, typically 15 minutes	216	155	$120.00	$78.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	93	$75.00	$47.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	86	$258.05	$172.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	49	$180.00	$113.80
45380 Biopsy of large bowel using an endoscope	50	50	$846.00	$190.33
46221 Removal of external hemorrhoids by rubber banding	36	17	$450.00	$278.38
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$350.00	$219.23
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$861.54	$88.20
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$800.00	$193.40
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	11	11	$1100.00	$229.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
46600 Diagnostic examination of the anus using an endoscope	384	304	$152.55	$98.79
99213 Established patient office or other outpatient visit, typically 15 minutes	267	205	$120.00	$76.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	218	156	$75.00	$46.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	127	126	$250.00	$170.89
45380 Biopsy of large bowel using an endoscope	86	86	$868.60	$207.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	43	43	$900.00	$86.70
46221 Removal of external hemorrhoids by rubber banding	43	17	$450.00	$289.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	12	$75.00	$42.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$180.00	$112.50
46500 Injection of hemorrhoid	18	16	$500.00	$288.74
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$800.00	$196.81
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	12	11	$1100.00	$252.28
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$350.00	$214.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
46600 Diagnostic examination of the anus using an endoscope	416	332	$150.00	$92.18
99213 Established patient office or other outpatient visit, typically 15 minutes	308	234	$120.00	$74.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	230	163	$75.00	$44.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	121	121	$250.00	$171.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	83	18	$75.00	$41.85
45380 Biopsy of large bowel using an endoscope	67	67	$859.70	$204.62
46221 Removal of external hemorrhoids by rubber banding	37	16	$450.00	$278.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$180.00	$109.45
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	32	$900.00	$99.67
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$800.00	$192.52
99221 Initial hospital inpatient care per day, typically 30 minutes	20	17	$150.00	$109.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$335.29	$190.42
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	17	17	$1067.65	$254.12
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1205.36	$282.72
46500 Injection of hemorrhoid	14	12	$500.00	$192.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
46600 Diagnostic examination of the anus using an endoscope	410	340	$150.00	$91.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	289	196	$75.00	$45.00
99213 Established patient office or other outpatient visit, typically 15 minutes	255	213	$120.00	$75.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	164	164	$250.30	$170.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	78	25	$75.00	$41.95
45380 Biopsy of large bowel using an endoscope	70	70	$864.64	$207.28
45378 Diagnostic exam of large bowel using a flexible endoscope	39	39	$789.74	$194.06
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	39	38	$900.00	$115.30
99221 Initial hospital inpatient care per day, typically 30 minutes	36	29	$150.00	$109.66
46500 Injection of hemorrhoid	27	26	$500.00	$189.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$180.00	$110.47
46221 Removal of external hemorrhoids by rubber banding	25	13	$450.00	$272.31
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$1250.00	$269.95
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	15	15	$1063.33	$242.93

Medical Specialties & State Licenses

CMS Verified: 2021-12-23

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Shobha Kumar

Pediatrics

NPI 1588819973

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 12, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2007

Registered at 9445 W 144TH PL, ORLAND PARK, IL 604622543 (Tel: 7084607565)

📍

Updated Business Mailing Address September 12, 2007

Registered at 9445 W 144TH PL, ORLAND PARK, IL 604622543 (Tel: 7084607565)

👤

Provider Name / Credentials Updated September 12, 2007

Recorded as SANATH KUMAR, M.D.,

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2007

Colon & Rectal Surgery

🟢

Initial NPI Registration & Enumeration December 15, 2005

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: 1225014889

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 15, 2005

Last Update: December 23, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9445 W 144th Pl

Orland Park, IL 604622543

Phone: 7084607565

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.