SUSHOBHIT POUDYAL PA-C
NPI 1366265258
Physician Assistant in Pembroke, MA

Active since November 07, 2024PECOS EnrolledAccepts Medicare Assignment
15 CORPORATE PARK DR, PEMBROKE, MA 02359(781) 826-8065 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sushobhit Poudyal Pa-c NPPES

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

SUSHOBHIT POUDYAL PA-C (NPI 1366265258) is an individual physician assistant in Pembroke, Massachusetts and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1366265258
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSUSHOBHIT POUDYALCredential: PA-C
Location Address15 CORPORATE PARK DRPembroke, MA 02359-1966
Mailing Address12 Bishop Rd # 1Malden, MA 02148-3127
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 7, 2024
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
NPI 1366265258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

15 CORPORATE PARK DR, Pembroke, MA 02359

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

Sushobhit Poudyal Pa-c 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 ID2466972823
PECOS Enrollment IDI20250228001010
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.

Hospital Affiliations CMS Care Compare 3

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02359 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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 6

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

Family Medicine
15 CORPORATE PARK DR
PEMBROKE, MA 02359
Family Medicine
15 CORPORATE PARK DR
PEMBROKE, MA 02359
Family Medicine
15 CORPORATE PARK DR
PEMBROKE, MA 02359
Family Medicine (Sports Medicine)
15 CORPORATE PARK DR
PEMBROKE, MA 02359
Nurse Practitioner (Family)
15 CORPORATE PARK DR
PEMBROKE, MA 02359
Family Medicine
15 CORPORATE PARK DR
PEMBROKE, MA 02359

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 Sushobhit Poudyal's NPI number?

The NPI number for Sushobhit Poudyal is 1366265258. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Sushobhit Poudyal located?

Sushobhit Poudyal practices at 15 Corporate Park Dr, Pembroke, MA 02359. The listed phone number is (781) 826-8065.

What is Sushobhit Poudyal's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sushobhit Poudyal enrolled in Medicare?

Yes. Sushobhit Poudyal 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 Sushobhit Poudyal affiliated with any hospitals?

According to CMS data, Sushobhit Poudyal is affiliated with South Shore Hospital, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Sushobhit Poudyal was last updated on January 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.