Sanjay Kumar, MD
Internal Medicine Physician · Walterboro, SC
Sanjay Kumar, MD is an internal medicine physician with a practice address in Walterboro, South Carolina, and NPI 1275632309, issued on Sep 22, 2006. Check the license (South Carolina 164379, as entered in NPPES) on the South Carolina Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Sanjay Kumar
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License numbers
- 164379 SC
16437 SC
Self-reported in NPPES; status is on the state search - Practice location
- 461 Spruce St, Walterboro, SC 29488
- Phone
- (843) 549-4335
- Enumerated
- Sep 22, 2006
- Record last updated
- Apr 24, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (843) 549-6502
- Medicaid ID
- GP2719 SC
- Medicare enrollment
- Enrolled (PECOS I20110118001233); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 1,881 in South Carolina → Look up another NPI →
Also registered at 461 Spruce St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Michael Blubaugh, MDInternal Medicine Physician1013016138
Verify Sanjay Kumar in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersSouth Carolina Board of Medical Examiners
Search for license 164379Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
5.1 times the Medicare Part D claims of the average internal medicine physician in 2024
16,210 Medicare Part D claims for 962 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 16% of claims. 125 claims were for opioids.
Most prescribed
- Amlodipine Besylate1,146 claims
- Losartan Potassium769 claims
- Hydralazine Hcl649 claims
- Jardiance573 claims
- Atorvastatin Calcium565 claims
- Gabapentin323 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 36.7 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $49.53
3 payments; by number, the most common kind was food and beverage; the largest payer was Insulet Corporation. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Carolina Medical Center OF Walterboro PAWalterboro, SC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sanjay Kumar among 1,881 internal medicine physician records in South Carolina
Sanjay Kumar, MD is one of 1,881 internal medicine physician records with a practice address in South Carolina. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.
- NPI issued2006 · 7% of these records are older, 58% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated1980 · median 2006 among the 1,119 with a school on file
- Record last updated2018 · 46% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
8 internal medicine physician records list a practice address in Walterboro
They are 8 of the 309 NPPES records with a practice address in Walterboro, and 1,881 internal medicine physician records in South Carolina.
All 1,881 in South Carolina → Every provider in Walterboro → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- John Biggers, MDWalterboro, SC 294881871546234
- Michael Blubaugh, MDWalterboro, SC 294881013016138
- Leo Jesion, D.O.Walterboro, SC 294881114979259
- Andrew Kiser, M.D.Walterboro, SC 294881861811598
- Jeffrey Kramer, MDWalterboro, SC 294881588618169
- Barry Lee, M.D.Walterboro, SC 294881386726040
- Robert Thomas, MDWalterboro, SC 294881750351508
- Juan Camacho Velazquez, M.D.Summerville, SC 294861063816528
Common questions
What is Sanjay Kumar, MD's NPI number?
Sanjay Kumar, MD's National Provider Identifier (NPI) is 1275632309, issued on Sep 22, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Sanjay Kumar, MD located?
The NPPES record lists a practice address at 461 Spruce St, Walterboro, SC, 29488. Phone: (843) 549-4335. Providers update this record themselves, so call before visiting.
How can I verify Sanjay Kumar, MD's license?
NPPES lists South Carolina license number 164379, as entered by the provider. Search the South Carolina Board of Medical Examiners at https://verify.llronline.com/LicLookup/Med/Med.aspx?div=22. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sanjay Kumar, MD prescribe under Medicare Part D?
In 2024, Sanjay Kumar, MD had 16,210 Medicare Part D claims for 962 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Sanjay Kumar, MD's MIPS final score?
The 2023 MIPS final score is 36.7 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.