Mr Kumar Gautam Sinha, MD - Medicare Orthopedic Surgery in Wayne, NJ

Mr Kumar Gautam Sinha, MD is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Surgery Of The Spine" physician in Wayne, New Jersey. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice University Spine Center Pc and his current practice location is 504 Valley Rd, Ste 203, Wayne, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 686-0700.

Mr Kumar Gautam Sinha is licensed to practice in New Jersey (license number FS1402546) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194919340.

Contact Information

Mr Kumar Gautam Sinha, MD
504 Valley Rd, Ste 203,
Wayne, NJ 07470-3534
(973) 686-0700
Not Available

Map and Direction




Physician's Profile

Full NameMr Kumar Gautam Sinha
GenderMale
SpecialityOrthopedic Surgery
Experience21 Years
Location504 Valley Rd, Wayne, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Kumar Gautam Sinha graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1194919340
  • Provider Enumeration Date: 08/30/2007
  • Last Update Date: 06/02/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7517006695
  • Enrollment ID: I20091202000693

Medical Identifiers

Medical identifiers for Mr Kumar Gautam Sinha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194919340NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XS0117XOrthopaedic Surgery - Orthopaedic Surgery Of The Spine FS1402546 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph's Hospital And Medical CenterPaterson, NJHospital
Robert Wood Johnson University Hospital At RahwayRahway, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Spine Center Pc60029860727

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kumar Gautam Sinha allows following entities to bill medicare on his behalf.
Entity NameUniversity Spine Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023224029
PECOS PAC ID: 6002986072
Enrollment ID: O20080603000070

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kumar Gautam Sinha is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kumar Gautam Sinha, MD
504 Valley Rd, Ste 203,
Wayne, NJ 07470-3534

Ph: (973) 686-0700
Mr Kumar Gautam Sinha, MD
504 Valley Rd, Ste 203,
Wayne, NJ 07470-3534

Ph: (973) 686-0700

Reviews and Comments


Orthopaedic Surgery Doctors in Wayne, NJ

Nikhil Sahai, M.D., M.P.H.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 504 Valley Rd Ste 203, Wayne, NJ 07470
Phone: 973-686-0700    Fax: 973-686-0701
Dr. Hervey Silas Sicherman, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1777 Hamburg Tpke, Suite 301, Wayne, NJ 07470
Phone: 973-839-5700    Fax: 973-616-4343
Dr. Oscar A Reicher, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1055 Hamburg Tpke, Suite 100, Wayne, NJ 07470
Phone: 973-616-0200    Fax: 973-686-9294
Dr. Anthony Nmi Festa, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 504 Valley Rd, Suite 200, Wayne, NJ 07470
Phone: 973-694-2690    Fax: 973-694-2762
Dr. Robert Fernand, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 516 Hamburg Tpke, Suite # 12, Wayne, NJ 07470
Phone: 973-595-7922    Fax: 973-595-7052
Dr. Colin B Harris, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1680 Route 23 Ste 250, Wayne, NJ 07470
Phone: 973-633-1122    Fax: 973-832-7550

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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