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SUSHIL K AHLAWAT M.D.
NPI 1760568455
Internal Medicine - Gastroenterology in Brooklyn, NY

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
93.49/100
CMS Quality Rating
470 CLARKSON AVE STE A, BROOKLYN, NY 11203(718) 270-4772(718) 270-7201 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sushil K Ahlawat M.d. NPPES

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

SUSHIL K AHLAWAT M.D. (NPI 1760568455) is an individual gastroenterology provider in Brooklyn, New York, licensed in New York (215319) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Suny/downstate University Hospital Of Brooklyn, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1760568455
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameSUSHIL K AHLAWATCredential: M.D.
Location Address470 CLARKSON AVE STE ABrooklyn, NY 11203-2012
Mailing Address470 Clarkson Ave Ste ABrooklyn, NY 11203-2012 · (718) 270-4772 · Fax (718) 270-7201
Phone(718) 270-4772
Fax(718) 270-7201
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1760568455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 215319
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
470 CLARKSON AVE STE A, Brooklyn, NY 11203
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Sushil K Ahlawat 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 ID5991805756
PECOS Enrollment IDI20230106001982
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 Sushil Ahlawat reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physicians Of Brooklyn, Inc.
Same address
Radiation Oncology
450 CLARKSON AVE, RM ALL1369
Brooklyn, NY 11203
  • Reassigned Medicare billing, New York enrollment
  • 291 clinicians in this Medicare group
NPI 1467409912 (718) 270-1593
Be Well Primary Health Care Center, LLC
1.3 mi
Multi-Specialty
3007 FARRAGUT ROAD
Brooklyn, NY 11210
  • Reassigned Medicare billing, New York enrollment
  • 99 clinicians in this Medicare group
NPI 1083623409 (718) 434-0711
Goldstep Ambulatory Surgery Center, LLC
1.3 mi
Ambulatory Surgical
3007 FARRAGUT RD FL 5
Brooklyn, NY 11210
  • Reassigned Medicare billing, New York enrollment
  • 72 clinicians in this Medicare group
NPI 1689059222 (718) 253-1582
University Physician Associates Of New Jersey Inc
14 mi
Internal Medicine
140 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 173 clinicians in this Medicare group
NPI 1760492367 (973) 972-9000

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 8

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.
54 services32 patients
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.
38 services32 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.
36 services36 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.
26 services19 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.
21 services21 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Suny/Downstate University Hospital Of Brooklyn

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330350
Location445 Lenox RoadBrooklyn, NY 11203 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

93.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.62
Promoting Interoperability90.58
Improvement Activities40

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 Sushil Ahlawat's NPI number?

The NPI number for Sushil Ahlawat is 1760568455. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Sushil Ahlawat located?

Sushil Ahlawat practices at 470 Clarkson Ave Ste A, Brooklyn, NY 11203. The listed phone number is (718) 270-4772.

What is Sushil Ahlawat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sushil Ahlawat enrolled in Medicare?

Yes. Sushil Ahlawat 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 Sushil Ahlawat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sushil Ahlawat reassigns Medicare benefits to 4 organizations: University Physicians Of Brooklyn, Inc. (Brooklyn, NY), Be Well Primary Health Care Center, LLC (Brooklyn, NY), Goldstep Ambulatory Surgery Center, LLC (Brooklyn, NY) and University Physician Associates Of New Jersey Inc (Newark, NJ). 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 Sushil Ahlawat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sushil Ahlawat accept?

Health plans from Oscar Health list Sushil Ahlawat 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 Sushil Ahlawat affiliated with any hospitals?

According to CMS data, Sushil Ahlawat is affiliated with Suny/Downstate University Hospital Of Brooklyn.

When was this NPI record last updated?

The NPPES record for Sushil Ahlawat was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.