SUSHMA EDARA MD
NPI 1639749278
Internal Medicine in Dayton, OH

Q: What is Sushma Edara's NPI number?

The NPI number for Sushma Edara is 1639749278. It was assigned to this individual provider in the NPPES registry on June 27, 2021.

Q: What is Sushma Edara's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sushma Edara was last updated on July 15, 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 27, 2021PECOS EnrolledAccepts Medicare Assignment

33 W RAHN RD, DAYTON, OH 45429(937) 433-8990(937) 433-8691 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 15, 2024, Jun 27, 2021 (2 updates tracked since 2021).

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About Sushma Edara Md NPPES

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

SUSHMA EDARA MD (NPI 1639749278) is an individual internal medicine provider in Dayton, Ohio, licensed in Ohio (35.150610) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1639749278

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUSHMA EDARACredential: MD

Location Address33 W RAHN RDDayton, OH 45429-2219

Mailing Address33 W Rahn RdDayton, OH 45429-2219 · (937) 433-8990 · Fax (937) 433-8691

Phone(937) 433-8990

Fax(937) 433-8691

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 27, 2021

Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration

NPPES CertifiedJuly 15, 2024

✔ NPI 1639749278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 35.150610

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

33 W RAHN RD, Dayton, OH 45429

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Sushma Edara Md 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 ID8820535297

PECOS Enrollment IDI20240802000939

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 4

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 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

26 services16 patients

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.

25 services15 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

17 services17 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360360

Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

DR. MUHAMMAD SHAHID MD

Internal Medicine

33 W RAHN RD
DAYTON, OH 45429

Montgomery County (937) 433-8990

DANIEL L BUTNARIU MD

Internal Medicine (Critical Care Medicine)

33 W RAHN RD
DAYTON, OH 45429

Montgomery County (937) 433-8990

SHRUTI HITENDRABHAI PATEL MD

Internal Medicine (Infectious Disease)

33 W RAHN RD
DAYTON, OH 45429

Montgomery County (937) 433-8990

NAEL SALEH MD

Internal Medicine

33 W RAHN RD
DAYTON, OH 45429

Montgomery County (937) 433-8990

VALERIE ADESUWA ALIU MD

Internal Medicine

33 W RAHN RD
DAYTON, OH 45429

Montgomery County (937) 433-8990

EILEEN RITA PAPE R.N.

Specialist

33 W RAHN RD
DAYTON, OH 45429

Montgomery County (937) 433-8990

MOIRA B HEALY PA

Physician Assistant

33 W RAHN RD
DAYTON, OH 45429

Montgomery County (937) 433-8990

DR. CRYSTAL BREIGHNER M.D.

Internal Medicine (Critical Care Medicine)

33 W RAHN RD
DAYTON, OH 45429

Montgomery County (937) 433-8990

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 Edara's NPI number?

The NPI number for Sushma Edara is 1639749278. It was assigned to this individual provider in the NPPES registry on June 27, 2021.

Where is Sushma Edara located?

Sushma Edara practices at 33 W Rahn Rd, Dayton, OH 45429. The listed phone number is (937) 433-8990.

What is Sushma Edara's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sushma Edara enrolled in Medicare?

Yes. Sushma Edara 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 Edara accept?

Health plans from CareSource and Molina Healthcare list Sushma Edara 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 Edara affiliated with any hospitals?

According to CMS data, Sushma Edara is affiliated with Kettering Health Dayton and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Sushma Edara was last updated on July 15, 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.