DR. SUSHMA MEDIKAYALA M.D
NPI 1518227396
Internal Medicine - Nephrology in Mount Rainier, MD
About Dr. Sushma Medikayala M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSHMA MEDIKAYALA M.D (NPI 1518227396) is an individual nephrology provider in Mount Rainier, Maryland, licensed in North Carolina (2014-01606) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Unc Health Wayne, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Dr. Sushma Medikayala 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.
Areas of Expertise CMS Part B claims 21
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unc Health Wayne
Acute Care Hospitals · Goldsboro, NCSampson Regional Medical Center
Acute Care Hospitals · Clinton, NCUnc Lenoir Health Care
Acute Care Hospitals · Kinston, NCVidant Duplin Hospital
Acute Care Hospitals · Kenansville, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Medikayala's NPI number?
The NPI number for Sushma Medikayala is 1518227396. It was assigned to this individual provider in the NPPES registry on May 25, 2012.
Where is Sushma Medikayala located?
Sushma Medikayala practices at 4608 29th St Apt 2, Mount Rainier, MD 20712. The listed phone number is (914) 413-1496.
What is Sushma Medikayala's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Sushma Medikayala enrolled in Medicare?
Yes. Sushma Medikayala 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 Sushma Medikayala accept?
Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Sushma Medikayala 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 Sushma Medikayala affiliated with any hospitals?
According to CMS data, Sushma Medikayala is affiliated with Unc Health Wayne, Sampson Regional Medical Center, Unc Lenoir Health Care and Vidant Duplin Hospital.
When was this NPI record last updated?
The NPPES record for Sushma Medikayala was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.