SUSHEEL PANDIT PATIL M.D.
NPI 1477500403
Internal Medicine - Pulmonary Disease in Baltimore, MD
About Susheel Pandit Patil M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSHEEL PANDIT PATIL M.D. (NPI 1477500403) is an individual pulmonary disease provider in Baltimore, Maryland, licensed in Maryland (D58637) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Johns Hopkins University School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
Susheel Pandit Patil 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
3Medicare enrollment records show Susheel Patil reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21224
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
Baltimore, MD 21231
- Reassigned Medicare billing, Maryland enrollment
- 352 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 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 7
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parma Community General Hospital
Acute Care Hospitals · Parma, OHUniversity Hospitals Portage Medical Center
Acute Care Hospitals · Ravenna, OHUh Cleveland Medical Center
Acute Care Hospitals · Cleveland, OHUniversity Hospitals Ahuja Medical Center
Acute Care Hospitals · Beachwood, OHLake Health Beachwood Medical Center
Acute Care Hospitals · Beachwood, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 15
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.
BALTIMORE, MD 21224
BALTIMORE, MD 21224
BALTIMORE, MD 21224
BALTIMORE, MD 21224
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 Susheel Patil's NPI number?
The NPI number for Susheel Patil is 1477500403. It was assigned to this individual provider in the NPPES registry on May 27, 2006.
Where is Susheel Patil located?
Susheel Patil practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-5864.
What is Susheel Patil's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Susheel Patil enrolled in Medicare?
Yes. Susheel Patil 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 Susheel Patil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susheel Patil reassigns Medicare benefits to 3 organizations: Johns Hopkins University (Baltimore, MD), Kennedy Krieger Associates (Baltimore, MD) and University Hospitals Medical Group Inc (Cleveland, OH). 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 Susheel Patil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susheel Patil accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Susheel Patil 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.
Is Susheel Patil affiliated with any hospitals?
According to CMS data, Susheel Patil is affiliated with Parma Community General Hospital, University Hospitals Portage Medical Center, Uh Cleveland Medical Center, University Hospitals Ahuja Medical Center and Lake Health Beachwood Medical Center.
When was this NPI record last updated?
The NPPES record for Susheel Patil was last updated on September 9, 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.
# Susheel Pandit Patil, M.D. · NPI 1477500403
Pulmonary Disease physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since May 27, 2006.
## Identity
- **NPI:** 1477500403 (Entity type: Individual)
- **Enumerated:** May 27, 2006
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** D58637 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4940 EASTERN AVE, Baltimore, MD 21224-2735
- **Phone:** (410) 550-5864
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Johns Hopkins University (NPI 1306810619, Baltimore, MD); Kennedy Krieger Associates (NPI 1285432237, Baltimore, MD); University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Johns Hopkins University School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** September 9, 2021
- **Other identifiers:** Medicaid 405882800 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1477500403) · Data from the CMS NPPES public registry.