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SUSHMA DANGI
NPI 1093339053
Internal Medicine in Chesterfield, MO

Active since June 04, 2020PECOS EnrolledAccepts Medicare Assignment
222 S WOODS MILL RD STE 750, CHESTERFIELD, MO 63017(314) 205-6050(314) 434-5939 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sushma Dangi NPPES

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

SUSHMA DANGI (NPI 1093339053) is an individual internal medicine provider in Chesterfield, Missouri, licensed in Missouri (2020012807) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1093339053
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUSHMA DANGI
Location Address222 S WOODS MILL RD STE 750Chesterfield, MO 63017-3625
Mailing Address222 S Woods Mill Rd Ste 750Chesterfield, MO 63017-3625 · (314) 205-6050 · Fax (314) 434-5939
Phone(314) 205-6050
Fax(314) 434-5939
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 4, 2020
NPPES CertifiedJune 4, 2020
✔ NPI 1093339053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2020012807
Definition
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.
222 S WOODS MILL RD STE 750, Chesterfield, MO 63017
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Sushma Dangi 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 ID7416306907
PECOS Enrollment IDI20231208002496
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
442 services233 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
304 services159 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
233 services224 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
138 services132 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONICA LIU BAKER MD, FACR
Internal Medicine (Rheumatology)
222 S WOODS MILL RD STE 750
CHESTERFIELD, MO 63017
St. Louis County (314) 205-6600
NIRMOL MARY PHILIP M.D.
Internal Medicine (Infectious Disease)
222 S WOODS MILL RD STE 750
CHESTERFIELD, MO 63017
St. Louis County (314) 205-6600

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 Dangi's NPI number?

The NPI number for Sushma Dangi is 1093339053. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Sushma Dangi located?

Sushma Dangi practices at 222 S Woods Mill Rd Ste 750, Chesterfield, MO 63017. The listed phone number is (314) 205-6050.

What is Sushma Dangi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sushma Dangi enrolled in Medicare?

Yes. Sushma Dangi 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 Sushma Dangi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Sushma Dangi 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.

Is Sushma Dangi affiliated with any hospitals?

According to CMS data, Sushma Dangi is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Sushma Dangi was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.