Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NISHA KUSUM SAPKOTA
NPI 1306620901
Internal Medicine in Danville, PA

Active since August 23, 2023PECOS Enrolled
35 JUSTIN DR, DANVILLE, PA 17821(570) 271-6164(570) 271-6141 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 13, 2026, Aug 23, 2023 (2 updates tracked since 2023).

About Nisha Kusum Sapkota NPPES

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

NISHA KUSUM SAPKOTA (NPI 1306620901) is an individual internal medicine provider in Danville, Pennsylvania, licensed in Pennsylvania (MD493643) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306620901
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNISHA KUSUM SAPKOTA
Location Address35 JUSTIN DRDanville, PA 17821-7951
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6164 · Fax (570) 271-6141
Fax(570) 271-6141
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 23, 2023
Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
NPI 1306620901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD493643
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.
35 JUSTIN DR, Danville, PA 17821

Secondary Practice Location 1

Location 11545 Atlantic AveBrooklyn, NY 11213-1122 · Phone (718) 613-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nisha Kusum Sapkota is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072085786
PECOS Enrollment IDI20260615000012
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 17821 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 7

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

Internal Medicine
35 JUSTIN DR
DANVILLE, PA 17821
Physician Assistant
35 JUSTIN DR
DANVILLE, PA 17821
Internal Medicine
35 JUSTIN DR, 4TH FLOOR
DANVILLE, PA 17821
Internal Medicine
35 JUSTIN DR
DANVILLE, PA 17821
Psychiatry & Neurology (Neurology)
35 JUSTIN DR
DANVILLE, PA 17821
Psychiatry & Neurology (Neurology)
35 JUSTIN DR
DANVILLE, PA 17821
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
35 JUSTIN DR
DANVILLE, PA 17821

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 Nisha Sapkota's NPI number?

The NPI number for Nisha Sapkota is 1306620901. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Where is Nisha Sapkota located?

Nisha Sapkota practices at 35 Justin Dr, Danville, PA 17821. The listed phone number is (570) 271-6164.

What is Nisha Sapkota's specialty?

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

Is Nisha Sapkota enrolled in Medicare?

Yes. Nisha Sapkota is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nisha Sapkota was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.