SUSHMA KAVETI M.D
NPI 1457631590
Internal Medicine in Newark, DE
About Sushma Kaveti M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSHMA KAVETI M.D (NPI 1457631590) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C1-0012918) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sushma Kaveti M.d 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sushma Kaveti reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, DE 19718
- Reassigned Medicare billing, Delaware enrollment
- Also billed through NPI 1245474329 (Delaware)
- 1,531 clinicians in this Medicare group
Harleysville, PA 19438
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 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.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
NEWARK, DE 19718
NEWARK, DE 19718
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 Kaveti's NPI number?
The NPI number for Sushma Kaveti is 1457631590. It was assigned to this individual provider in the NPPES registry on August 21, 2011.
Where is Sushma Kaveti located?
Sushma Kaveti practices at 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718. The listed phone number is (302) 623-0188.
What is Sushma Kaveti's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sushma Kaveti enrolled in Medicare?
Yes. Sushma Kaveti 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.
Which organizations bill Medicare for Sushma Kaveti's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sushma Kaveti reassigns Medicare benefits to 2 organizations: Christiana Care Health Services, Inc (Newark, DE) and St Luke's Physician Group Inc (Harleysville, PA). 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 Kaveti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sushma Kaveti accept?
Health plans from AmeriHealth Caritas Next list Sushma Kaveti as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sushma Kaveti was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Sushma Kaveti, M.D · NPI 1457631590
Internal Medicine physician in Newark, Delaware. Individual provider, active in the CMS NPPES registry since August 21, 2011.
## Identity
- **NPI:** 1457631590 (Entity type: Individual)
- **Enumerated:** August 21, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** C1-0012918 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 4755 OGLETOWN STANTON RD STE 5A43, Newark, DE 19718-1900
- **Phone:** (302) 623-0188
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Christiana Care Health Services, Inc (NPI 1104896596, Newark, DE); St Luke's Physician Group Inc (NPI 1184518581, Harleysville, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** October 22, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1457631590) · Data from the CMS NPPES public registry.