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SUSHMA ITANI MD
NPI 1376217323
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since August 03, 2021PECOS Enrolled
415 LEFFERTS AVE, BROOKLYN, NY 11225(929) 527-8773 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sushma Itani Md NPPES

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

SUSHMA ITANI MD (NPI 1376217323) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376217323
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUSHMA ITANICredential: MD
Location Address415 LEFFERTS AVEBrooklyn, NY 11225-4461
Mailing Address415 Lefferts AveBrooklyn, NY 11225-4461 · (929) 527-8773
Phone(929) 527-8773
Sole ProprietorYes
Enumeration DateAugust 3, 2021
NPPES CertifiedAugust 3, 2021
✔ NPI 1376217323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
415 LEFFERTS AVE, Brooklyn, NY 11225
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sushma Itani 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 Reassignments

2

Medicare enrollment records show Sushma Itani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coney Island Medical Practice Plan, P.C.
5.4 mi
General Practice
2601 OCEAN PKWY
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 638 clinicians in this Medicare group
NPI 1386951762 (718) 616-5354
Physician Affiliate Group Of New York PC
10 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467

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

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 Itani's NPI number?

The NPI number for Sushma Itani is 1376217323. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Where is Sushma Itani located?

Sushma Itani practices at 415 Lefferts Ave, Brooklyn, NY 11225. The listed phone number is (929) 527-8773.

What is Sushma Itani's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sushma Itani enrolled in Medicare?

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

Which organizations bill Medicare for Sushma Itani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sushma Itani reassigns Medicare benefits to 2 organizations: Coney Island Medical Practice Plan, P.C. (Brooklyn, NY) and Physician Affiliate Group Of New York PC (New York, NY). Each 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 Itani'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 Itani was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.