DR. SUSHMA VINEET PAI M.D.
NPI 1619188596
Hospitalist in San Jose, CA
About Dr. Sushma Vineet Pai M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSHMA VINEET PAI M.D. (NPI 1619188596) is an individual hospitalist provider in San Jose, California, licensed in California (104547) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Jose, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
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
Dr. Sushma Vineet Pai 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
6Medicare enrollment records show Sushma Pai reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95128
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1588721500 (California), NPI 1629301346 (California)
- 2,460 clinicians in this Medicare group
San Jose, CA 95125
- Reassigned Medicare billing, California enrollment
- 131 clinicians in this Medicare group
San Jose, CA 95116
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
Mountain View, CA 94040
- Reassigned Medicare billing, California enrollment
- 217 clinicians in this Medicare group
Apple Valley, CA 92307
- Reassigned Medicare billing, California enrollment
- 914 clinicians in this Medicare group
Colton, CA 92324
- Reassigned Medicare billing, California enrollment
- 338 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 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95128 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 4
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.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
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 Pai's NPI number?
The NPI number for Sushma Pai is 1619188596. It was assigned to this individual provider in the NPPES registry on May 24, 2007. The provider is also known as Sushma Bhat M.D..
Where is Sushma Pai located?
Sushma Pai practices at 751 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 799-2536.
What is Sushma Pai's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Sushma Pai enrolled in Medicare?
Yes. Sushma Pai 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 Sushma Pai's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sushma Pai reassigns Medicare benefits to 6 organizations: County Of Santa Clara (San Jose, CA), California Emergency Physicians Medical Group A Professional Corp (San Jose, CA), Valley Medical Consultants, Inc. (San Jose, CA), Quantum Bay Area Hospitalist Medical Group Inc (Mountain View, CA), Hospitalist Medicine Physicians Of California, Inc (Apple Valley, CA) and 1 more organization, listed in the Medicare section above. 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 Sushma Pai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sushma Pai was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Sushma Vineet Pai, M.D. · NPI 1619188596
Hospitalist physician in San Jose, California. Individual provider, active in the CMS NPPES registry since May 24, 2007.
## Identity
- **NPI:** 1619188596 (Entity type: Individual)
- **Enumerated:** May 24, 2007
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 104547 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 751 S BASCOM AVE, San Jose, CA 95128-2604
- **Phone:** (408) 799-2536
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): County Of Santa Clara (NPI 1972598449, San Jose, CA); California Emergency Physicians Medical Group A Professional Corp (NPI 1619436128, San Jose, CA); Valley Medical Consultants, Inc. (NPI 1588697122, San Jose, CA); Quantum Bay Area Hospitalist Medical Group Inc (NPI 1902279656, Mountain View, CA); Hospitalist Medicine Physicians Of California, Inc (NPI 1184663965, Apple Valley, CA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1619188596) · Data from the CMS NPPES public registry.