DR. SUJAN THAPALIYA M.D.
NPI 1003267287
Internal Medicine in Baltimore, MD
About Dr. Sujan Thapaliya M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUJAN THAPALIYA M.D. (NPI 1003267287) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D0086757) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Medstar Franklin Square Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Sujan Thapaliya M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medstar Franklin Square Medical Center
Acute Care Hospitals · Rosedale, MDMedstar Union Memorial Hospital
Acute Care Hospitals · Baltimore, MDMedstar Good Samaritan Hospital
Acute Care Hospitals · Baltimore, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21239
BALTIMORE, MD 21239
BALTIMORE, MD 21239
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sujan Thapaliya's NPI number?
The NPI number for Sujan Thapaliya is 1003267287. It was assigned to this individual provider in the NPPES registry on June 28, 2016.
Where is Sujan Thapaliya located?
Sujan Thapaliya practices at 5601 Loch Raven Blvd, Baltimore, MD 21239. The listed phone number is (855) 633-0363.
What is Sujan Thapaliya's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sujan Thapaliya enrolled in Medicare?
Yes. Sujan Thapaliya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Sujan Thapaliya affiliated with any hospitals?
According to CMS data, Sujan Thapaliya is affiliated with Medstar Franklin Square Medical Center, Medstar Union Memorial Hospital and Medstar Good Samaritan Hospital.
When was this NPI record last updated?
The NPPES record for Sujan Thapaliya was last updated on June 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.
