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SURAJ TIMILSINA MD
NPI 1477867869
Internal Medicine - Rheumatology in Elk Grove, CA

Active since July 28, 2010PECOS EnrolledAccepts Medicare Assignment
90.92/100
CMS Quality Rating
8110 LAGUNA BLVD, ELK GROVE, CA 95758(916) 683-3955(443) 444-4997 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suraj Timilsina Md NPPES

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

SURAJ TIMILSINA MD (NPI 1477867869) is an individual rheumatology provider in Elk Grove, California, licensed in California (A127568) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1477867869
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameSURAJ TIMILSINACredential: MD
Location Address8110 LAGUNA BLVDElk Grove, CA 95758
Mailing Address8110 Laguna BlvdElk Grove, CA 95758-8094 · (916) 683-3955
Phone(916) 683-3955
Fax(443) 444-4997
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 28, 2010
Last NPPES UpdateAugust 28, 2018
✔ NPI 1477867869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in CA · A127568
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
8110 LAGUNA BLVD, Elk Grove, CA 95758
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Suraj Timilsina 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 ID9335382050
PECOS Enrollment IDI20180709000597
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 8

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 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.
527 services307 patients
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.
130 services103 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 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.
24 services15 patients
Limited ultrasound scan of joint or other extremity structure except blood vessels 76882
A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95758 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

90.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality63.35
Promoting Interoperability100
Improvement Activities40

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.

DR. RADHIKA NANDUR BUKKAPATNAM M.D.
Internal Medicine (Cardiovascular Disease)
8110 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 683-3950
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Clinic/Center (Multi-Specialty)
8110 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 683-3950
DR. SHAINA KAYE MD
Pediatrics
8110 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 683-3955
MS. JILL ROBIN SABERMAN RN, MSN, WHNP-BC
Nurse Practitioner (Women's Health)
8110 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 683-3955
VINH LUU M.D.
Internal Medicine
8110 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 683-3955
CHRISTOPHER RYAN YOUNG M.D.
Family Medicine
8110 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 683-3955
REGENTS OF THE UNIVERSITY OF CA.
Podiatrist (Primary Podiatric Medicine)
8110 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 683-3955
JEFFREY THOMAS HAGINO DO
Internal Medicine
8110 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 683-3955

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 Suraj Timilsina's NPI number?

The NPI number for Suraj Timilsina is 1477867869. It was assigned to this individual provider in the NPPES registry on July 28, 2010.

Where is Suraj Timilsina located?

Suraj Timilsina practices at 8110 Laguna Blvd, Elk Grove, CA 95758. The listed phone number is (916) 683-3955.

What is Suraj Timilsina's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Suraj Timilsina enrolled in Medicare?

Yes. Suraj Timilsina 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.

What insurance does Suraj Timilsina accept?

Health plans from Medica list Suraj Timilsina 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 Suraj Timilsina was last updated on August 28, 2018. 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.