DR. SUSHIL RATTAN MD
NPI 1467427120
Internal Medicine - Gastroenterology in Greenbelt, MD

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
93.52/100
CMS Quality Rating
7305 HANOVER PKWY STE A, GREENBELT, MD 20770(301) 982-7900 Get Directions Write a Review

NPPES record last updated: June 28, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sushil Rattan Md NPPES

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

DR. SUSHIL RATTAN MD (NPI 1467427120) is an individual gastroenterology provider in Greenbelt, Maryland, licensed in Maryland (D0070391) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Luminis Health Doctors Community Medical Ctr, Inc, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1467427120
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SUSHIL RATTANCredential: MD
Location Address7305 HANOVER PKWY STE AGreenbelt, MD 20770-3665
Mailing Address7305 Hanover Pkwy Ste AGreenbelt, MD 20770-3665 · (301) 982-7900
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJune 28, 2010
NPI 1467427120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MD · D0070391
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD422861 (PA)
7305 HANOVER PKWY STE A, Greenbelt, MD 20770

Other Identifiers 4

Medicare UPINH95848
Other232359401PA · Main Line Healthcare
Medicare ID-Type Unspecified074067N2PPA
Medicaid100832931PA

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

Dr. Sushil Rattan Md 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 ID9234033598
PECOS Enrollment IDI20101004000306
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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
143 services108 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
110 services110 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
68 services67 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
68 services68 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services46 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
36 services36 patients

Hospital Affiliations CMS Care Compare

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

Luminis Health Doctors Community Medical Ctr, Inc

Acute Care Hospitals · Lanham, MD
2/5 CMS rating
OwnershipProprietary
CMS Certification Number210051
Location8118 Good Luck RoadLanham, MD 20706 · Prince Georges County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20770 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

93.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.83
Improvement Activities40
Cost93.52

Reported Quality Measures

Age Appropriate Screening Colonoscopy
Lower rates are better for this measure.
0%537 patients
Appropriate follow-up interval based on pathology findings in screening colonoscopy
99%134 patients
Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
100%276 patients
Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
99%157 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Sushil Rattan's NPI number?

The NPI number for Sushil Rattan is 1467427120. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Sushil Rattan located?

Sushil Rattan practices at 7305 Hanover Pkwy Ste A, Greenbelt, MD 20770. The listed phone number is (301) 982-7900.

What is Sushil Rattan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sushil Rattan enrolled in Medicare?

Yes. Sushil Rattan 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 Sushil Rattan affiliated with any hospitals?

According to CMS data, Sushil Rattan is affiliated with Luminis Health Doctors Community Medical Ctr, Inc.

When was this NPI record last updated?

The NPPES record for Sushil Rattan was last updated on June 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.