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SUSMITHA SEELAM
NPI 1336428069
Internal Medicine in Monroeville, PA

Active since August 11, 2011PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
2570 HAYMAKER RD, MONROEVILLE, PA 15146(412) 858-2000(412) 858-7628 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susmitha Seelam NPPES

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

SUSMITHA SEELAM (NPI 1336428069) is an individual internal medicine provider in Monroeville, Pennsylvania, licensed in Pennsylvania (MT200540) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Forbes Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1336428069
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUSMITHA SEELAM
Location Address2570 HAYMAKER RDMonroeville, PA 15146-3513
Mailing Address136 Oakville Dr, Apt 2aPittsburgh, PA 15220-4415
Phone(412) 858-2000
Fax(412) 858-7628
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 11, 2011
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1336428069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MT200540
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.
2570 HAYMAKER RD, Monroeville, PA 15146
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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

Susmitha Seelam 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 ID8820215700
PECOS Enrollment IDI20140818000774
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 4

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.

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.
174 services70 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.
153 services69 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.
83 services80 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Forbes Hospital

Acute Care Hospitals · Monroeville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390267
Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15146 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.

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$58.70 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.

DELANEY MARKLE
Pharmacist
2570 HAYMAKER RD
MONROEVILLE, PA 15146
Allegheny County (412) 858-2000
WEST PENN ALLEGHENY HEALTH SYSTEM, INC
Pathology (Anatomic Pathology & Clinical Pathology)
2570 HAYMAKER RD
MONROEVILLE, PA 15146
Allegheny County (412) 858-2567
DR. NAMRATHA VEMULAPALLI MD
Internal Medicine
2570 HAYMAKER RD, FORBES REGIONAL CAMPUS
MONROEVILLE, PA 15146
Allegheny County (412) 858-7618
LAUREN LYNCH RN
Registered Nurse
2570 HAYMAKER RD
MONROEVILLE, PA 15146
Allegheny County (412) 849-7753
CAROL L SEIFERT MD
Radiology (Diagnostic Radiology)
2570 HAYMAKER RD
MONROEVILLE, PA 15146
Allegheny County (412) 858-2343
JENNIFER MARIE PAUL CRNA
Nurse Anesthetist, Certified Registered
2570 HAYMAKER RD
MONROEVILLE, PA 15146
Allegheny County (412) 858-2000
ARIC BURBEY
Physician Assistant (Surgical)
2570 HAYMAKER RD
MONROEVILLE, PA 15146
Allegheny County (412) 858-2000
ARDALAN AKBARI-NASAB MD
Internal Medicine
2570 HAYMAKER RD
MONROEVILLE, PA 15146
Allegheny County (412) 858-7618

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 Susmitha Seelam's NPI number?

The NPI number for Susmitha Seelam is 1336428069. It was assigned to this individual provider in the NPPES registry on August 11, 2011.

Where is Susmitha Seelam located?

Susmitha Seelam practices at 2570 Haymaker Rd, Monroeville, PA 15146. The listed phone number is (412) 858-2000.

What is Susmitha Seelam's specialty?

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

Is Susmitha Seelam enrolled in Medicare?

Yes. Susmitha Seelam 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.

Is Susmitha Seelam affiliated with any hospitals?

According to CMS data, Susmitha Seelam is affiliated with Forbes Hospital.

When was this NPI record last updated?

The NPPES record for Susmitha Seelam was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.