DR. SANDEEP KUMAR (M.D.) – Surgery Physician, NPI 1104025238

DR. SANDEEP KUMAR (M.D.) is a healthcare provider. based in Mcminnville, Oregon. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MD151977 (OR). The NPI Number for DR. SANDEEP KUMAR (M.D.) is 1104025238

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANDEEP KUMAR (M.D.)
NPI
1104025238
Phone
(503) 434-6060
Address
392 NE NORTON LN
Enumeration Date
18 July 2007
Last Update Date
30 July 2010

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
5034341110
Graduation Year
2005 (21 years ago)
PAC ID
9032234554
Group Practice PAC ID
6103729314
Professional Enrollment ID
I20100921000234
Address ID
OR971286258MC2700XAVEX412
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

530 GENERAL SURGERY in OR

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Provider Addresses for DR. SANDEEP KUMAR (M.D.)

  • 392, Northeast Norton Lane, McMinnville, Yamhill County, Oregon, 97128, United States

    MCMINNVILLE, OR 971288481

    Phone: (503) 434-6060

    Fax: (503) 435-6463

    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 10 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Microline Surgical Inc ($55).

Total Amount

$142

General + Research + Ownership

Payments

10

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2010-09-21

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
I20100921000234IGeneral SurgeryORTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4912$0
99204New patient office or other outpatient visit, 45-59 minutes3535$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 97128)

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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: 6103729314View full group profile
NameSpecialtyState
Nurse PractitionerOR
-OR
O B S T E T R I C S/ G Y N E C O L O G YOR
Orthopedic SurgeryOR
Hospitalist, Family PracticeOR
O B S T E T R I C S/ G Y N E C O L O G YLA
Internal MedicineOR
Internal MedicineOR
-CA
-OR

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SANDEEP KUMAR (M.D.)'s NPI?
Yes. DR. SANDEEP KUMAR (M.D.) is listed with NPI 1104025238 in the public NPI dataset.
Is DR. SANDEEP KUMAR (M.D.) listed as active for patients and plans?
The listing shows DR. SANDEEP KUMAR (M.D.) as active in the NPI system.
What healthcare role does DR. SANDEEP KUMAR (M.D.) hold?
Scheduling teams often label DR. SANDEEP KUMAR (M.D.) under Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SANDEEP KUMAR (M.D.)?
DR. SANDEEP KUMAR (M.D.)'s geographic hint is Mcminnville, Oregon in our summary view.
Is the information about DR. SANDEEP KUMAR (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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