DR. SANDEEP KUMAR (MD) – Dermatology Physician, NPI 1235464256

DR. SANDEEP KUMAR (MD) is a healthcare provider. based in Brookline, Massachusetts. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 242655 (MA). The NPI Number for DR. SANDEEP KUMAR (MD) is 1235464256

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANDEEP KUMAR (MD)
NPI
1235464256
Phone
(617) 731-5605
Address
77 POND AVE
Enumeration Date
8 October 2009
Last Update Date
2 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7813982225
Graduation Year
1989 (37 years ago)
PAC ID
8022292150
Group Practice PAC ID
7719147917
Professional Enrollment ID
I20240416000561
Address ID
MA025544381NA4XXXXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

744 DERMATOLOGY in MA

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Provider Addresses for DR. SANDEEP KUMAR (MD)

  • Brookhouse Dental, 77, Pond Avenue, Brookline Village, Brookline, Norfolk County, Massachusetts, 02130-4803, United States

    APT # 1005

    BROOKLINE, MA 024457141

    Phone: (617) 731-5605

    Fax: (617) 264-5123

    Type: Mailing

  • 221 Longwood, 221, Longwood Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States

    BRIGHAM & WOMEN'S HOSPITAL

    BOSTON, MA 021155804

    Phone: (617) 525-8254

    Fax: (617) 264-5123

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240416000561IDermatologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02445)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719147917View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryNJ
D E R M A T O L O G YRI
D E R M A T O L O G YRI
Dermatology, Micrographic Dermatologic Surgery (Mds), Micrographic Dermatologic Surgery (Mds), DermatologyRI
Physician AssistantME
Physician AssistantMA

Reviews

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Frequently asked questions

What federal number belongs to DR. SANDEEP KUMAR (MD)?
The federal identifier for DR. SANDEEP KUMAR (MD) is NPI 1235464256.
Is DR. SANDEEP KUMAR (MD) active in the national directory?
DR. SANDEEP KUMAR (MD)'s public NPI profile is in an active state.
Can you summarize DR. SANDEEP KUMAR (MD)'s specialty in plain language?
Clinically, the directory lists DR. SANDEEP KUMAR (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SANDEEP KUMAR (MD)?
The page summarizes Brookline, Massachusetts for DR. SANDEEP KUMAR (MD); expand the address list for detail.
Is DR. SANDEEP KUMAR (MD) a real provider?
This page reflects official NPPES data for NPI 1235464256. Always confirm identity and privileges with the practice and licensing boards.

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