Active NPI 1578581237 Individual Practitioner Female Practitioner

Dr. Sangeeta Kumar , MD

Internal Medicine • Springfield, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sangeeta Kumar, MD is a certified Internal Medicine practicing in Springfield, MA. 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 305 BICENTENNIAL HWY.

Dr. Kumar is affiliated with Riverbend Medical Group 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

305 Bicentennial Hwy

Springfield, MA 011181962

Telephone 4137334101

Fax 4137839544

Associated Practice Facility / Clinic

🏢 Riverbend Medical Group, Inc Facility NPI 1639280779

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 Springfield, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +14.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

289 Specialists

Practicing in Springfield, MA (7127 Statewide)

Telehealth Adoption Rate

16.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

75.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kumar (35 Years) 35 Yrs

Springfield Specialty Average (20.3 Years) 20.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	79	59	$300.00	$84.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	52	$445.00	$99.49

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	148	95	$390.96	$97.52
99213 Established patient office or other outpatient visit, typically 15 minutes	120	69	$287.87	$71.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$389.00	$51.04
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	17	$214.00	$54.26
G0009 Administration of pneumococcal vaccine	19	19	$86.00	$33.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$502.37	$128.31
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	17	17	$483.18	$265.70

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	218	112	$359.00	$133.90
99213 Established patient office or other outpatient visit, typically 15 minutes	48	32	$244.00	$95.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	27	$482.00	$189.51
G0009 Administration of pneumococcal vaccine	27	27	$86.00	$33.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$389.00	$137.91
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$366.00	$131.77
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$214.00	$56.03

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	153	102	$358.72	$133.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	83	66	$482.00	$191.30
99213 Established patient office or other outpatient visit, typically 15 minutes	38	30	$242.42	$95.86
99443 Telephone medical discussion with physician, 21-30 minutes	28	24	$382.00	$137.28
99442 Telephone medical discussion with physician, 11-20 minutes	19	18	$263.00	$96.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$389.00	$140.46

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	178	116	$316.00	$113.07
99443 Telephone medical discussion with physician, 21-30 minutes	102	76	$328.63	$115.89
99213 Established patient office or other outpatient visit, typically 15 minutes	77	53	$214.00	$79.45
99442 Telephone medical discussion with physician, 11-20 minutes	56	48	$229.41	$79.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$429.00	$142.67

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	287	156	$314.61	$113.73
99213 Established patient office or other outpatient visit, typically 15 minutes	116	73	$212.19	$78.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	14	$428.00	$153.39
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$131.00	$16.96
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	11	$214.00	$54.59

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	355	188	$296.52	$112.21
99213 Established patient office or other outpatient visit, typically 15 minutes	151	95	$199.00	$76.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	38	$420.00	$151.59
G0008 Administration of influenza virus vaccine	17	17	$69.00	$23.11
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$38.00	$17.48
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	13	$214.00	$56.38
G0009 Administration of pneumococcal vaccine	14	14	$69.00	$23.21
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$198.00	$105.59

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	334	194	$296.00	$110.12
99213 Established patient office or other outpatient visit, typically 15 minutes	167	110	$199.00	$74.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	28	$415.59	$149.27
99495 Transitional care management services for problem of at least moderate complexity	27	24	$596.56	$169.18
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$130.31	$17.65
81002 Urinalysis, manual test	15	12	$9.00	$3.43

Medical Specialties & State Licenses

CMS Verified: 2025-10-28

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 261134

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.

Hospital & Practice Group Affiliations

Riverbend Medical Group Inc

305 Bicentennial Hwy, Springfield, MA 011181962

Phone: 4137334101

Practice Associates & Co-Workers

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

26 Associated Practitioners

Dr. Robert Kaplan , MD

Physical Medicine & Rehabilitation

NPI 1053381962

Doctor of Medicine (M.D.)

Dr. Jean Talati , MD

Obstetrics & Gynecology

NPI 1073562831

Doctor of Medicine (M.D.)

Melissa Novak , PA

Physician Assistant - Medical

NPI 1114257870

Physician Assistant

Karen Bourgeault , PA-C

Physician Assistant

NPI 1134184179

Physician Assistant (Certified)

Dr. Alison Wondriska , MD

Pediatrics

NPI 1144285800

Doctor of Medicine (M.D.)

Dr. Kirti Kodali , MD

Pediatrics

NPI 1154385656

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location October 28, 2025

Registered at 305 BICENTENNIAL HWY, SPRINGFIELD, MA 011181962 (Tel: 4137334101)

📍

Updated Business Mailing Address October 28, 2025

Registered at 305 BICENTENNIAL HWY, SPRINGFIELD, MA 011181962

📍

Updated Practice Location October 23, 2024

Registered at 305 BICENTENNIAL HWY, SPRINGFIELD, MA 01118 (Tel: 7167088445)

📍

Updated Business Mailing Address October 23, 2024

Registered at 305 BICENTENNIAL HWY, SPRINGFIELD, MA 01118

✅

NPI Profile Active January 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 30, 2015

Registered at 201 HIGHLAND ST, CLINTON, MA 015101037 (Tel: 9783658200)

📍

Updated Business Mailing Address January 30, 2015

Registered at PO BOX 415348, BOSTON, MA 022415341 (Tel: 8002258885)

👤

Provider Name / Credentials Updated January 30, 2015

Recorded as SANGEETA KUMAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2015

Internal Medicine (License #261134 in MA)

🟢

Initial NPI Registration & Enumeration July 18, 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: 1578581237

Entity Type:

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

Enumeration Date: July 18, 2006

Last Update: October 28, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

305 Bicentennial Hwy

Springfield, MA 011181962

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.