SUSHMA GANGISETTY OD
NPI 1033817879
Optometrist in Eatontown, NJ
About Sushma Gangisetty Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSHMA GANGISETTY OD (NPI 1033817879) is an individual optometrist in Eatontown, New Jersey, licensed in New Jersey (27OA00716400) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of New England College Of Optometry (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sushma Gangisetty Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Sushma Gangisetty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Eatontown, NJ 07724
- Reassigned Medicare billing, New Jersey enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07724 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sushma Gangisetty's NPI number?
The NPI number for Sushma Gangisetty is 1033817879. It was assigned to this individual provider in the NPPES registry on February 21, 2023.
Where is Sushma Gangisetty located?
Sushma Gangisetty practices at 300 Highway 35 Ste 300, Eatontown, NJ 07724. The listed phone number is (732) 222-7373.
What is Sushma Gangisetty's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Sushma Gangisetty enrolled in Medicare?
Yes. Sushma Gangisetty 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.
Which organization bills Medicare for Sushma Gangisetty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sushma Gangisetty reassigns Medicare benefits to Atlantic Eye Physicians, PA (Eatontown, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sushma Gangisetty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sushma Gangisetty accept?
Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 2 other insurers list Sushma Gangisetty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sushma Gangisetty was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sushma Gangisetty, OD · NPI 1033817879
Optometrist provider in Eatontown, New Jersey. Individual provider, active in the CMS NPPES registry since February 21, 2023.
## Identity
- **NPI:** 1033817879 (Entity type: Individual)
- **Enumerated:** February 21, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 27OA00716400 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 HIGHWAY 35 STE 300, Eatontown, NJ 07724-2216
- **Phone:** (732) 222-7373
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Atlantic Eye Physicians, PA (NPI 1629023551, Eatontown, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New England College Of Optometry, class of 2022
## Record status
- **NPPES last updated:** February 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1033817879) · Data from the CMS NPPES public registry.