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SUSHRUTA DUARA CEREJO M.D
NPI 1629341771
Internal Medicine - Critical Care Medicine in Pittsburgh, PA

Active since February 21, 2012PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
490 E NORTH AVE STE 309, PITTSBURGH, PA 15212(412) 442-2522(412) 442-2524 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2025, Nov 2, 2023, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Sushruta Duara Cerejo M.d NPPES

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

SUSHRUTA DUARA CEREJO M.D (NPI 1629341771) is an individual critical care medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD462469) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and maintains a secondary practice location in Middleburg Heights.

NPPES Registry Identity

NPI1629341771
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameSUSHRUTA DUARA CEREJOCredential: M.D
Location Address490 E NORTH AVE STE 309Pittsburgh, PA 15212-4740
Mailing Address490 E North Ave Ste 309Pittsburgh, PA 15212-4740 · (412) 442-2522 · Fax (412) 442-2524
Phone(412) 442-2522
Fax(412) 442-2524
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 21, 2012
Last NPPES UpdateFebruary 24, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1629341771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in PA · MD462469
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License MD462469 (PA)
490 E NORTH AVE STE 309, Pittsburgh, PA 15212
Open in Google Maps ↗

Other Names 1

Former Name (1)Sushruta Lakhiraj Duara M.d

Secondary Practice Location 1

Location 118697 Bagley RdMiddleburg Heights, OH 44130-3417 · Phone (347) 783-4314

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

Sushruta Duara Cerejo 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 ID345545406
PECOS Enrollment IDI20171122000052
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Sushruta Cerejo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allegheny Clinic
Same address
Dermatology
490 E NORTH AVE, SUITE 107
Pittsburgh, PA 15212
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
NPI 1235139817 (412) 359-3376
Community Intensivists, LLC
115 mi
Pulmonary Disease
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 56 clinicians in this Medicare group
NPI 1992131742 (440) 816-8000
North East Ohio Group Practice LLC
115 mi
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 238 clinicians in this Medicare group
NPI 1063575462 (440) 542-5000
Community Hospitalist, LLC
135 mi
Hospitalist
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 325 clinicians in this Medicare group
NPI 1538236872 (440) 960-4000

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 5

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 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.
47 services39 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
44 services25 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
31 services30 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.
21 services16 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390032
Location1301 Carlisle StNatrona, PA 15065 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Canonsburg General Hospital

Acute Care Hospitals · Canonsburg, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390160
Location100 Medical BoulevardCanonsburg, PA 15317 · Washington County
Emergency services

Forbes Hospital

Acute Care Hospitals · Monroeville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390267
Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers85 claims85 services$32.59 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers39 claims39 services$77.19 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers37 claims105 services$29.98 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers36 claims215 services$16.55 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers16 claims80 services$14.02 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers57 claims57 services$47.20 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 5

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

DR. AMY VALENTY SCHMETZER DNP, FNP-C
Nurse Practitioner (Critical Care Medicine)
490 E NORTH AVE STE 309
PITTSBURGH, PA 15212
Allegheny County (412) 442-2522
SHANNON SALAFRANCA
Nurse Practitioner (Family)
490 E NORTH AVE STE 309, 7TH FLOOR FRANK SARRIS CLINIC
PITTSBURGH, PA 15212
Allegheny County (412) 977-9692
CHRISTOPHER KHANH THIEN PHAM D.O.
Internal Medicine (Pulmonary Disease)
490 E NORTH AVE STE 309
PITTSBURGH, PA 15212
Allegheny County (412) 442-2522
SARAH ELIZABETH NELLIS PA-C
Physician Assistant (Medical)
490 E NORTH AVE STE 309
PITTSBURGH, PA 15212
Allegheny County (412) 442-2522
CHRISTINE CASEY PA-C
Physician Assistant (Medical)
490 E NORTH AVE STE 309
PITTSBURGH, PA 15212
Allegheny County (412) 442-2522

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 Sushruta Cerejo's NPI number?

The NPI number for Sushruta Cerejo is 1629341771. It was assigned to this individual provider in the NPPES registry on February 21, 2012. The provider is also known as Sushruta Lakhiraj Duara M.D.

Where is Sushruta Cerejo located?

Sushruta Cerejo practices at 490 E North Ave Ste 309, Pittsburgh, PA 15212. The listed phone number is (412) 442-2522.

What is Sushruta Cerejo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Sushruta Cerejo enrolled in Medicare?

Yes. Sushruta Cerejo 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 Sushruta Cerejo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sushruta Cerejo reassigns Medicare benefits to 4 organizations: Allegheny Clinic (Pittsburgh, PA), Community Intensivists, LLC (Middleburg Heights, OH), North East Ohio Group Practice LLC (Middleburg Heights, OH) and Community Hospitalist, LLC (Lorain, OH). 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 Sushruta Cerejo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sushruta Cerejo affiliated with any hospitals?

According to CMS data, Sushruta Cerejo is affiliated with Allegheny Valley Hospital, West Penn Hospital, Canonsburg General Hospital and Forbes Hospital.

When was this NPI record last updated?

The NPPES record for Sushruta Cerejo was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.