DR. SUSHMA MEDIKAYALA M.D
NPI 1518227396
Internal Medicine - Nephrology in Mount Rainier, MD

Active since May 25, 2012PECOS EnrolledAccepts Medicare Assignment
4608 29TH ST, APT 2, MOUNT RAINIER, MD 20712(914) 413-1496 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1518227396
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SUSHMA MEDIKAYALACredential: M.D
Location Address4608 29TH ST, APT 2Mount Rainier, MD 20712-1312
Mailing Address4608 29th St, Apt 2Mount Rainier, MD 20712-1312 · (914) 413-1496
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMay 25, 2012
Last NPPES UpdateOctober 20, 2022
NPPES CertifiedOctober 20, 2022
NPI 1518227396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NC · 2014-01606
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2014-01606 (NC)
4608 29TH ST, Mount Rainier, MD 20712

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.

PECOS PAC ID7810117629
PECOS Enrollment IDI20140930000262
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
250 services80 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
192 services91 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
188 services50 patients
Phosphate level 84100
A phosphate level test measures the amount of phosphate in your blood. Phosphate is a chemical that contains the mineral phosphorus, crucial for energy production, muscle and nerve function, and bone growth. Imbalances may indicate kidney disease or other health issues.
170 services87 patients
Parathormone (parathyroid hormone) level 83970
The Parathormone level test measures the amount of parathyroid hormone in your blood. This hormone controls calcium and phosphorus levels in the body, which are vital for bone health. Abnormal levels may indicate issues like kidney disease or parathyroid gland disorders.
167 services86 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
164 services87 patients

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, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340010
Location2700 Wayne Memorial DrGoldsboro, NC 27534 · Wayne County
Emergency services Birthing friendly

Sampson Regional Medical Center

Acute Care Hospitals · Clinton, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340024
Location607 Beaman StClinton, NC 28328 · Sampson County
Emergency services Birthing friendly

Unc Lenoir Health Care

Acute Care Hospitals · Kinston, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340027
Location100 Airport RdKinston, NC 28501 · Lenoir County
Emergency services Birthing friendly

Vidant Duplin Hospital

Acute Care Hospitals · Kenansville, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340120
Location401 N Main StKenansville, NC 28349 · Duplin County
Emergency services Birthing friendly

Physician 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.

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.

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.