SUSHIL RAMCHANDANI PT
NPI 1083674808
Physical Therapist in Durham, NC

Active since March 24, 2006Accepts Medicare Assignment
88.4/100
CMS Quality Rating
120 WILLIAM PENN PLZ, DURHAM, NC 27704(919) 220-5255(919) 220-6971 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sushil Ramchandani Pt NPPES

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

SUSHIL RAMCHANDANI PT (NPI 1083674808) is an individual physical therapist in Durham, North Carolina, licensed in North Carolina (2872) and active in the NPI registry since March 2006. He is a graduate of Other (1993).

NPPES Registry Identity

NPI1083674808
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSUSHIL RAMCHANDANICredential: PT
Location Address120 WILLIAM PENN PLZDurham, NC 27704-2150
Mailing Address120 William Penn PlzDurham, NC 27704-2150 · (919) 220-5255 · Fax (919) 220-6971
Fax(919) 220-6971
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 24, 2006
Last NPPES UpdateJune 19, 2008
NPI 1083674808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NC · 2872
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

120 WILLIAM PENN PLZ, Durham, NC 27704

Other Identifiers 1

Other2872NC · License Number

Accepted Insurance

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

Sushil Ramchandani Pt 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 ID6608827613
PECOS Enrollment IDI20080714000127

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.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
472 services66 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
468 services80 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
205 services31 patients
Application of blood vessel compression device 97016
A blood vessel compression device is applied to control bleeding and promote clotting after a procedure. This device applies pressure to your blood vessels, reducing the chance of excessive bleeding. It's a safe, standard part of many medical procedures.
182 services18 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
79 services70 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

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.

Orthopaedic Surgery (Sports Medicine)
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Physical Medicine & Rehabilitation
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Orthopaedic Surgery (Sports Medicine)
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Orthopaedic Surgery
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Orthopaedic Surgery
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Orthopaedic Surgery
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Orthopaedic Surgery (Sports Medicine)
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Physician Assistant
120 WILLIAM PENN PLZ
DURHAM, NC 27704

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 Sushil Ramchandani's NPI number?

The NPI number for Sushil Ramchandani is 1083674808. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Sushil Ramchandani located?

Sushil Ramchandani practices at 120 William Penn Plz, Durham, NC 27704. The listed phone number is (919) 220-5255.

What is Sushil Ramchandani's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Sushil Ramchandani enrolled in Medicare?

Yes. Sushil Ramchandani 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.

What insurance does Sushil Ramchandani accept?

Health plans from Blue Cross and Blue Shield of NC list Sushil Ramchandani 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 Sushil Ramchandani was last updated on June 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.