SUSHMA SAPKOTA PANDEY MD
NPI 1124265749
Internal Medicine in Boonville, NY

Q: What is Sushma Sapkota Pandey's NPI number?

The NPI number for Sushma Sapkota Pandey is 1124265749. It was assigned to this individual provider in the NPPES registry on January 20, 2009.

Q: What is Sushma Sapkota Pandey's specialty?

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

Active since January 20, 2009PECOS Enrolled

13407 STATE ROUTE 12, BOONVILLE FAMILY CARE, BOONVILLE, NY 13309(315) 942-3500(315) 942-3618 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sushma Sapkota Pandey Md NPPES

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

SUSHMA SAPKOTA PANDEY MD (NPI 1124265749) is an individual internal medicine provider in Boonville, New York, licensed in New York (003385) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124265749

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUSHMA SAPKOTA PANDEYCredential: MD

Location Address13407 STATE ROUTE 12, BOONVILLE FAMILY CAREBoonville, NY 13309

Mailing Address1500 North James StreetRome, NY 13440 · (315) 338-7000 · Fax (315) 338-7629

Phone(315) 942-3500

Fax(315) 942-3618

Sole ProprietorNo

Enumeration DateJanuary 20, 2009

Last NPPES UpdateOctober 17, 2011

✔ NPI 1124265749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 003385

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.

13407 STATE ROUTE 12, Boonville, NY 13309

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Other Identifiers 4

Medicare PINJ400049087NY

Medicaid03161786NY

Medicare PINJ400008674NY

Medicare PINJ400008674

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sushma Sapkota Pandey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13309 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 5

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

ANN F MELLEN FNP

Nurse Practitioner (Family)