DR. SUSHMA BHUSAL M.D.
NPI 1558625178
Internal Medicine - Nephrology in Little Rock, AR

Q: What is Sushma Bhusal's NPI number?

The NPI number for Sushma Bhusal is 1558625178. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Q: What is Sushma Bhusal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Sushma Bhusal was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 28, 2012PECOS EnrolledAccepts Medicare Assignment

4301 W MARKHAM ST # 501, LITTLE ROCK, AR 72205(501) 686-5377(501) 686-8806 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2024, Oct 31, 2020, Oct 18, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Sushma Bhusal M.d. NPPES

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

DR. SUSHMA BHUSAL M.D. (NPI 1558625178) is an individual nephrology provider in Little Rock, Arkansas, licensed in Arkansas (E-10340) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1558625178

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameDR. SUSHMA BHUSALCredential: M.D.

Location Address4301 W MARKHAM ST # 501Little Rock, AR 72205-7199

Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148

Phone(501) 686-5377

Fax(501) 686-8806

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJune 28, 2012

Last NPPES UpdateApril 3, 20244 updates tracked since enumeration

NPPES CertifiedApril 1, 2024

✔ NPI 1558625178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in AR · E-10340

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.

4301 W MARKHAM ST # 501, Little Rock, AR 72205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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 Bhusal 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 ID9436427465

PECOS Enrollment IDI20170616000543

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 3

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.

239 services73 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

40 services40 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cyclosporine, oral, 100 mg J7502

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers12 claims750 services$1.51 avg. paid by Medicare

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503

Treatment-Chemotherapy · category RH002N

6 suppliers88 claims52,980 services$1.20 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

20 suppliers346 claims45,147 services$0.30 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

7 suppliers239 claims38,100 services$0.01 avg. paid by Medicare

Cyclosporine, oral, 25 mg J7515

Treatment-Treatment - Miscellaneous · category RX029N

6 suppliers29 claims3,780 services$0.61 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

17 suppliers249 claims38,640 services$0.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH HUNTER HOLTHOFF M.D., PH.D.

Internal Medicine (Nephrology)