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MRS. SUDHA SIKRI MD
NPI 1194804070
Family Medicine in Oxon Hill, MD

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
6357 OXON HILL ROAD, OXON HILL, MD 20745(301) 839-2700(301) 839-1354 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Sudha Sikri Md NPPES

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

MRS. SUDHA SIKRI MD (NPI 1194804070) is an individual family medicine provider in Oxon Hill, Maryland, licensed in Maryland (D0051462) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Glen Burnie, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1194804070
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. SUDHA SIKRICredential: MD
Location Address6357 OXON HILL ROADOxon Hill, MD 20745
Mailing Address6357 Oxon Hill RoadOxon Hill, MD 20745 · (301) 839-2700 · Fax (301) 839-1354
Phone(301) 839-2700
Fax(301) 839-1354
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateNovember 3, 2006
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1194804070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0051462
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSurgeryTaxonomy 208600000X · License D0051462 (MD), MD30667 (DC)
6357 OXON HILL ROAD, Oxon Hill, MD 20745
Open in Google Maps ↗

Secondary Practice Location 1

Location 17116 Ritchie HwyGlen Burnie, MD 21061-2904 · Phone (443) 577-0277

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Mrs. Sudha Sikri Md 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 ID7214098516
PECOS Enrollment IDI20081204000903
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.

Medicare Billing Reassignment

Medicare enrollment records show Sudha Sikri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Greater Washington Medicenter LLC. T/A Healthcare Of Greater Washingto
Same address
Legal Medicine
6357 OXON HILL RD
Oxon Hill, MD 20745
  • Reassigned Medicare billing, District of Columbia enrollment
  • 7 clinicians in this Medicare group
NPI 1366517013 (301) 839-2820

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 18

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 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.
428 services256 patients
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.
232 services173 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
207 services207 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
202 services202 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
199 services199 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
197 services197 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20745 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
51%605 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,183 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%8,240 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
14%411 patients1/55-star benchmark: 98%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
87%380 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
20%1,303 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
38%953 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
69%1,330 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers21 claims68 services$5.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MR. SANTIAGO DUMLAO MORAO JR. MD
Surgery
6357 OXON HILL ROAD
OXON HILL, MD 20745
Prince George's County (301) 839-2700

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 Sudha Sikri's NPI number?

The NPI number for Sudha Sikri is 1194804070. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Sudha Sikri located?

Sudha Sikri practices at 6357 Oxon Hill Road, Oxon Hill, MD 20745. The listed phone number is (301) 839-2700.

What is Sudha Sikri's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sudha Sikri enrolled in Medicare?

Yes. Sudha Sikri 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 Sudha Sikri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sudha Sikri reassigns Medicare benefits to Greater Washington Medicenter LLC. T/A Healthcare Of Greater Washingto (Oxon Hill, MD). 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 Sudha Sikri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sudha Sikri accept?

Health plans from Select Health list Sudha Sikri 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 Sudha Sikri was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.