DR. SUSHIL KUMAR DHAWAN M.D.,DPM
NPI 1013018118
Orthopaedic Surgery in Middletown, NY

Q: What is Sushil Dhawan's NPI number?

The NPI number for Sushil Dhawan is 1013018118. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Sushil Dhawan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Sushil Dhawan was last updated on September 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment

111 MALTESE DR, MIDDLETOWN, NY 10940(845) 324-4774(845) 343-8741 Get Directions Write a Review

NPPES record last updated: September 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Sushil Kumar Dhawan M.d.,dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSHIL KUMAR DHAWAN M.D.,DPM (NPI 1013018118) is an individual orthopaedic surgery provider in Middletown, New York, licensed in New York (236965) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Ellenville Regional Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1013018118

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. SUSHIL KUMAR DHAWANCredential: M.D.,DPM

Location Address111 MALTESE DRMiddletown, NY 10940-2115

Mailing Address111 Maltese DrMiddletown, NY 10940-2115 · (845) 324-4774 · Fax (845) 343-8741

Phone(845) 324-4774

Fax(845) 343-8741

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateSeptember 25, 2006

Last NPPES UpdateSeptember 22, 2011

✔ NPI 1013018118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in NY · 236965

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License N0005909-1 (NY)

111 MALTESE DR, Middletown, NY 10940

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Other Identifiers 1

Medicare PIN742F11NY

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. Sushil Kumar Dhawan M.d.,dpm 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.

PECOS PAC ID9830199801

PECOS Enrollment IDI20061226000039

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

238 services101 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

176 services80 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

78 services78 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

28 services28 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

26 services26 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ellenville Regional Hospital

Critical Access Hospitals · Ellenville, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331310

Location10 Healthy WayEllenville, NY 12428 · Ulster County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10940 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$95.99 typical visit price

range $61.88 – $187.05

Typical copayment $23.99 (range $15.47 – $46.76)

Most-billed visit code 99203

Established Patient

$76.88 typical visit price

range $19.92 – $151.94

Typical copayment $19.22 (range $4.98 – $37.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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