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SUMINA SAPKOTA MD
NPI 1760155923
Internal Medicine in Jacksonville, NC

Active since July 25, 2021PECOS EnrolledAccepts Medicare Assignment
317 WESTERN BLVD, JACKSONVILLE, NC 28546(910) 577-2345 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2024, Jul 25, 2021 (2 updates tracked since 2021).

About Sumina Sapkota Md NPPES

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

SUMINA SAPKOTA MD (NPI 1760155923) is an individual internal medicine provider in Jacksonville, North Carolina, licensed in North Carolina (2024-02190) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1760155923
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUMINA SAPKOTACredential: MD
Location Address317 WESTERN BLVDJacksonville, NC 28546-6338
Mailing Address317 Western BlvdJacksonville, NC 28546-6338 · (910) 577-2345
Phone(910) 577-2345
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 25, 2021
Last NPPES UpdateAugust 30, 20242 updates tracked since enumeration
NPPES CertifiedAugust 30, 2024
✔ NPI 1760155923 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 NC · 2024-02190
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
317 WESTERN BLVD, Jacksonville, NC 28546
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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

Sumina Sapkota 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 ID7113465428
PECOS Enrollment IDI20240819000897
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 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.
149 services58 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.
131 services43 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.
48 services47 patients

Hospital Affiliations CMS Care Compare

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28546 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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. ANURADHA ARCOT M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
317 WESTERN BLVD, DEPARTMENT OF PATHOLOGY
JACKSONVILLE, NC 28546
Onslow County (910) 577-2286
GINA LEE BANKS LCSW-A
Social Worker (Clinical)
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Onslow County (910) 577-4900
DR. ALEXIS ECCLESTON DO
Emergency Medicine
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Onslow County (910) 577-2345
DR. STEPHANIE WODOWSKI D.O.
Emergency Medicine
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Onslow County (910) 577-2240
ONSLOW RADIATION ONCOLOGY LLC
Clinic/Center (Oncology, Radiation)
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Onslow County (910) 577-4900
MELISSA KLINE RN
Registered Nurse
317 WESTERN BLVD, ICU
JACKSONVILLE, NC 28546
Onslow County (910) 577-2351
DANIEL HAWKINS PA-C
Physician Assistant
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Onslow County (910) 577-2345
MRS. SUYONG GRACE LUNA FNP
Nurse Practitioner (Family)
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Onslow County (910) 577-2345

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 Sumina Sapkota's NPI number?

The NPI number for Sumina Sapkota is 1760155923. It was assigned to this individual provider in the NPPES registry on July 25, 2021.

Where is Sumina Sapkota located?

Sumina Sapkota practices at 317 Western Blvd, Jacksonville, NC 28546. The listed phone number is (910) 577-2345.

What is Sumina Sapkota's specialty?

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

Is Sumina Sapkota enrolled in Medicare?

Yes. Sumina Sapkota 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.

Is Sumina Sapkota affiliated with any hospitals?

According to CMS data, Sumina Sapkota is affiliated with Onslow Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sumina Sapkota was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.