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SUSHMA CHANDAN M.D.
NPI 1265445662
Physical Medicine & Rehabilitation - Pain Medicine in Louisville, KY

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
220 ABRAHAM FLEXNER WAY STE 1200, LOUISVILLE, KY 40202(502) 584-3377(502) 584-3480 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 17, 2019, Aug 17, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Sushma Chandan M.d. NPPES

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

SUSHMA CHANDAN M.D. (NPI 1265445662) is an individual pain medicine provider in Louisville, Kentucky, licensed in Kentucky (50829) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Decatur, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1265445662
Entity TypeIndividualFemale
Primary Taxonomy2081P2900X
Provider Legal NameSUSHMA CHANDANCredential: M.D.
Location Address220 ABRAHAM FLEXNER WAY STE 1200Louisville, KY 40202
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 899-3623 · Fax (502) 899-7970
Phone(502) 584-3377
Fax(502) 584-3480
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateAugust 15, 2006
Last NPPES UpdateJanuary 17, 20194 updates tracked since enumeration
✔ NPI 1265445662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Licenses✔ Licensed in KY · 50829✔ Licensed in GA · 022984
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
220 ABRAHAM FLEXNER WAY STE 1200, Louisville, KY 40202
Open in Google Maps ↗

Secondary Practice Location 1

Location 11670 Clairmont RdDecatur, GA 30033-4004 · Phone (404) 728-7639 · Fax (770) 728-5002

Other Identifiers 2

Medicaid7100550970KY
Medicaid300010647IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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 Chandan M.d. 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 ID345426276
PECOS Enrollment IDI20180126002333
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 2

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
22 services22 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
15 services13 patients

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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES 11

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

MAXWELL BOAKYE M.D.
Neurological Surgery
220 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202
Jefferson County (502) 899-3623
DR. JESSICA LAYNE DUFFY DNP, APRN, AGACNP-BC
Nurse Practitioner
220 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202
Jefferson County (502) 588-2160
NORBERTO OMAR ANDALUZ MD
Neurological Surgery
220 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202
Jefferson County (502) 899-3623
SHANAI PETRAKOS HENDRICK APRN
Nurse Practitioner (Family)
220 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202
Jefferson County (502) 584-3377
EMILY SIEG M.D.
Neurological Surgery
220 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202
Jefferson County (502) 899-3623
DR. JOSEPH S NEIMAT MD
Neurological Surgery
220 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202
Jefferson County (502) 899-3623
BRIAN J WILLIAMS MD
Neurological Surgery
220 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202
Jefferson County (502) 899-3623
MRS. RACHEL DITTER CHRISTIAN ACNP-BC
Nurse Practitioner (Acute Care)
220 ABRAHAM FLEXNER WAY STE 1200
LOUISVILLE, KY 40202
Jefferson County (502) 899-3623

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 Chandan's NPI number?

The NPI number for Sushma Chandan is 1265445662. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Sushma Chandan located?

Sushma Chandan practices at 220 Abraham Flexner Way Ste 1200, Louisville, KY 40202. The listed phone number is (502) 584-3377.

What is Sushma Chandan's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Sushma Chandan enrolled in Medicare?

Yes. Sushma Chandan 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 Chandan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Sushma Chandan 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 Sushma Chandan was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.