MR. KUMAR GAUTAM SINHA (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1194919340

MR. KUMAR GAUTAM SINHA (M.D.) is a healthcare provider. based in Wayne, New Jersey. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. FS1402546 (NJ). The NPI Number for MR. KUMAR GAUTAM SINHA (M.D.) is 1194919340

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. KUMAR GAUTAM SINHA (M.D.)
NPI
1194919340
Phone
(973) 686-0700
Address
504 VALLEY RD
Enumeration Date
30 August 2007
Last Update Date
2 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9736860700
Graduation Year
2003 (23 years ago)
PAC ID
7517006695
Group Practice PAC ID
6002986072
Professional Enrollment ID
I20091202000693
Address ID
NJ074703534WA504XXRDXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

917 ORTHOPEDIC SURGERY in NJ

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Provider Addresses for MR. KUMAR GAUTAM SINHA (M.D.)

  • 504, Valley Road, Preakness, Wayne, Passaic County, New Jersey, 07470, United States

    STE 203

    WAYNE, NJ 074703534

    Phone: (973) 686-0700

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $4,442.

Total Amount is formed as General ($4,442) + Research ($0) + Ownership ($0) = $4,442.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Stryker Corporation ($3,531).

Total Amount

$4,442

General + Research + Ownership

Payments

50

Total payment records

General Amount

$4,442

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-12-02

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
I20091202000693IOrthopedic SurgeryNJTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13997$0
99213Established patient office or other outpatient visit, 20-29 minutes12486$0
99204New patient office or other outpatient visit, 45-59 minutes4747$0
99203New patient office or other outpatient visit, 30-44 minutes3737$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion2514$0
View full utilization report →

Insurance plans in this area (ZIP 07470)

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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: 6002986072View full group profile
NameSpecialtyState
Orthopedic SurgeryNJ
Orthopedic SurgeryNJ
Physical Medicine And RehabilitationNY
Orthopedic SurgeryNJ
Vascular SurgeryNJ
Orthopedic SurgeryNJ
-NJ
Anesthesiology, Pain ManagementNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

Is MR. KUMAR GAUTAM SINHA (M.D.) listed with a National Provider Identifier?
Yes — MR. KUMAR GAUTAM SINHA (M.D.) has NPI 1194919340 on file in the registry.
Is there an active status for MR. KUMAR GAUTAM SINHA (M.D.)?
For scheduling context, MR. KUMAR GAUTAM SINHA (M.D.) is shown as active in the registry.
What clinical focus is listed for MR. KUMAR GAUTAM SINHA (M.D.)?
At a glance, MR. KUMAR GAUTAM SINHA (M.D.) is tied to Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. KUMAR GAUTAM SINHA (M.D.)?
Travel planning: use Wayne, New Jersey as the reference point for MR. KUMAR GAUTAM SINHA (M.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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