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DR. SUSHIL S DESHMUKH DO
NPI 1215308200
Internal Medicine - Nephrology in Seattle, WA

Active since October 15, 2015PECOS EnrolledAccepts Medicare Assignment
904 7TH AVE, SEATTLE, WA 98104(206) 860-5575 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2022, Nov 26, 2019, Nov 26, 2018 and 4 more (7 updates tracked since 2016).

About Dr. Sushil S Deshmukh Do NPPES

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

DR. SUSHIL S DESHMUKH DO (NPI 1215308200) is an individual nephrology provider in Seattle, Washington, licensed in Washington (OP60852077) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1215308200
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SUSHIL S DESHMUKHCredential: DO
Location Address904 7TH AVESeattle, WA 98104-1132
Mailing Address1145 Broadway Fl 2Seattle, WA 98122-4201 · (206) 860-5575 · Fax (800) 272-6512
Phone(206) 860-5575
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 15, 2015
Last NPPES UpdateJanuary 6, 20227 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
✔ NPI 1215308200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in WA · OP60852077
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
904 7TH AVE, Seattle, WA 98104
Open in Google Maps ↗

Other Identifiers 1

Medicaid500745869OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma 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

Dr. Sushil S Deshmukh Do 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 ID3577810258
PECOS Enrollment IDI20230503000734
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 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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
371 services53 patients
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.
214 services85 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.
111 services98 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.
86 services42 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.
62 services60 patients
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.
50 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number320061
Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County
Emergency services Birthing friendly

Rehoboth Mckinley Christian Health Care Services

Critical Access Hospitals · Gallup, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321313
Location1901 Red Rock DriveGallup, NM 87301 · Mckinley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
29%41 patients2/55-star benchmark: 100%
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.
98%112 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
59%41 patients3/55-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…
46%70 patients2/55-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
50%80 patients3/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 100% · 34 patients
100%34 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 41 patients
0%41 patients5/55-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 2

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers12 claims1,320 services$0.25 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers22 claims22 services$12.54 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 20

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

LAURA MORRISON MD
Dermatology
904 7TH AVE
SEATTLE, WA 98104
King County (206) 860-4691
DR. JOSEPH W DAVIS M.D.
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
King County (206) 860-5574
MANDY WARNER MATTA PA-C
Physician Assistant (Surgical)
904 7TH AVE
SEATTLE, WA 98104
King County (206) 329-1760
ANTONIUS MULIA M.D.
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
King County (206) 329-1760
KATHLEEN MAKIELSKI M.D.
Otolaryngology
904 7TH AVE
SEATTLE, WA 98104
King County (206) 329-1760
DR. XIANGPING REN MD
Physical Medicine & Rehabilitation (Pain Medicine)
904 7TH AVE
SEATTLE, WA 98104
King County (206) 329-1760
ANNA H STEPCZYNSKI M.D.
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
King County (206) 860-5574
NEHA MITRAGOTRI
Pediatrics
904 7TH AVE
SEATTLE, WA 98104
King County (206) 292-2249

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 Deshmukh's NPI number?

The NPI number for Sushil Deshmukh is 1215308200. It was assigned to this individual provider in the NPPES registry on October 15, 2015.

Where is Sushil Deshmukh located?

Sushil Deshmukh practices at 904 7th Ave, Seattle, WA 98104. The listed phone number is (206) 860-5575.

What is Sushil Deshmukh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sushil Deshmukh enrolled in Medicare?

Yes. Sushil Deshmukh 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 Deshmukh accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Blue Cross Blue Shield of Arizona and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Sushil Deshmukh 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 Sushil Deshmukh affiliated with any hospitals?

According to CMS data, Sushil Deshmukh is affiliated with Gallup Indian Medical Center and Rehoboth Mckinley Christian Health Care Services.

When was this NPI record last updated?

The NPPES record for Sushil Deshmukh was last updated on January 6, 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.