MS. SUSHMA KASINATHAN MD
NPI 1265938542
Pediatrics in Brooklyn, NY

Active since April 04, 2018PECOS Enrolled
121 DEKALB AVE, BROOKLYN, NY 11201(718) 250-6604 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Sushma Kasinathan Md NPPES

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

MS. SUSHMA KASINATHAN MD (NPI 1265938542) is an individual pediatrics provider in Brooklyn, New York, licensed in New York (318914-01) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265938542
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMS. SUSHMA KASINATHANCredential: MD
Location Address121 DEKALB AVEBrooklyn, NY 11201
Mailing Address121 Dekalb AveBrooklyn, NY 11201-5425
Sole ProprietorNo
Enumeration DateApril 4, 2018
Last NPPES UpdateDecember 19, 2022
NPPES CertifiedDecember 19, 2022
✔ NPI 1265938542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 318914-01
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
121 DEKALB AVE, Brooklyn, NY 11201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Sushma Kasinathan 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.

Medicare Billing Reassignment

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

Specialist
107 W 4TH ST, ADMINISTRATION
Mount Vernon, NY 10550
  • Reassigned Medicare billing, New York enrollment
  • 108 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11201 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

Pharmacist (Nutrition Support)
121 DEKALB AVE, B231
BROOKLYN, NY 11201
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Orthopaedic Surgery (Hand Surgery)
121 DEKALB AVE, ORTHOSUITE
BROOKLYN, NY 11201
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE, HOUSE STAFF ADMINISTRATION
BROOKLYN, NY 11201
Physical Therapist
121 DEKALB AVE
BROOKLYN, NY 11201
Nurse Practitioner (Family)
121 DEKALB AVE
BROOKLYN, NY 11201
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201

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 Kasinathan's NPI number?

The NPI number for Sushma Kasinathan is 1265938542. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Sushma Kasinathan located?

Sushma Kasinathan practices at 121 Dekalb Ave, Brooklyn, NY 11201. The listed phone number is (718) 250-6604.

What is Sushma Kasinathan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sushma Kasinathan enrolled in Medicare?

Yes. Sushma Kasinathan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sushma Kasinathan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sushma Kasinathan reassigns Medicare benefits to Mount Vernon Neighborhood Health Center Inc (Mount Vernon, NY). 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 Sushma Kasinathan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sushma Kasinathan was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.