NPPES file of Aug 9, 2026

Sonal Kumar, MD

Gastroenterology Physician · New York, NY

Sonal Kumar, MD is a gastroenterology physician with a practice address in New York, New York, and NPI 1952523268, issued on May 3, 2007. Check the license (New York 263182, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1952523268
Name
Sonal Kumar
Credential
MD
Primary taxonomy
Gastroenterology Physician 207RG0100X
License numbers
263182 NY
239755 MA
2008030948 MO
Self-reported in NPPES; status is on the state search
Practice location
1305 York Ave, New York, NY 10021
Phone
(646) 962-5358
Enumerated
May 3, 2007
Record last updated
Dec 12, 2012 (not updated in 14 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20120629000220); accepts Medicare assignment
Medical or professional school
Washington University School Of Medicine, 2006
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1305 York Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ana Alzaga Fernandez, M.D.Ophthalmology Physician1053575100
  2. Panagiota Andreopoulou, M.D.Endocrinology, Diabetes & Metabolism Physician1629090527
  3. Chino Aneke-Nash, MD, PHDGastroenterology Physician1518458488
  4. Quillan AustriaStudent in an Organized Health Care Education/Training Program1437859998
  5. John Barnard, M.D.Cardiovascular Disease Physician1144242678
  6. Robert Battat, MDGastroenterology Physician1255854071

Verify Sonal Kumar in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 263182
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

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90% fewer Medicare Part D claims than the average gastroenterology physician in 2024

80 Medicare Part D claims for 28 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 56% of claims.

  1. Sonal Kumar80
  2. Specialty average811

Most prescribed

  1. Vemlidy17 claims
  2. Rezdiffra15 claims
  3. Ursodiol11 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): 100 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.

  1. Qualityout of 100 · 30% of the final score86.8
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $304,180.13

226 payments; by number, the most common kind was food and beverage; the largest payer was Novo Nordisk Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sonal Kumar$304,180
  2. Specialty average$5,016

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

  1. Weill Medical College OF CornellNew York, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sonal Kumar among 1,797 gastroenterology physician records in New York

Sonal Kumar, MD is one of 1,797 gastroenterology physician records with a practice address in New York. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 56% of them.

  • NPI issued2007 · 56% of these records are older, 38% newer
  • In a Medicare fileYes · 88% of these records are
  • In the CMS Doctors and Clinicians fileYes · 77% of these records are
  • Graduated2006 · median 1999 among the 1,378 with a school on file
  • Record last updated2012 · 65% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gastroenterology Physician providers in New York

There are 1,797 gastroenterology physician records in New York.

The 8 gastroenterology physician records with the nearest ZIP codes

  1. James Aisenberg, M.D.New York, NY 100211801873518
  2. Peter Baiocco, M.D.New York, NY 100211679539027
  3. Paul Basuk, M.D.New York, NY 100211033194675
  4. David Carr-Locke, MD FRCP FACG MASGENew York, NY 100211417913609
  5. Hans Gerdes, MDNew York, NY 100211437121217
  6. Philip Katz, MDNy, NY 100211124097340
  7. Jay Katzman, MDNew York, NY 100211043284227
  8. Michael Krumholz, M.D.New York, NY 100211700886645

Common questions

What is Sonal Kumar, MD's NPI number?

Sonal Kumar, MD's National Provider Identifier (NPI) is 1952523268, issued on May 3, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Sonal Kumar, MD located?

The NPPES record lists a practice address at 1305 York Ave, New York, NY, 10021. Phone: (646) 962-5358. Providers update this record themselves, so call before visiting.

How can I verify Sonal Kumar, MD's license?

NPPES lists New York license number 263182, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sonal Kumar, MD prescribe under Medicare Part D?

In 2024, Sonal Kumar, MD had 80 Medicare Part D claims for 28 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.

What is Sonal Kumar, MD's MIPS final score?

The 2023 MIPS final score is 100 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.