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SABITA BUDHATHOKI M.D.
NPI 1760833412
Internal Medicine - Nephrology in Rochester, NY

Active since June 23, 2016PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1561 LONG POND RD STE 302, ROCHESTER, NY 14626(585) 723-1120(585) 723-1776 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 15, 2025, May 4, 2021, Oct 23, 2019 and 2 more (5 updates tracked since 2016).

About Sabita Budhathoki M.d. NPPES

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

SABITA BUDHATHOKI M.D. (NPI 1760833412) is an individual nephrology provider in Rochester, New York, licensed in New York (301318) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with United Memorial Medical Center, and maintains a secondary practice location in Batavia.

NPPES Registry Identity

NPI1760833412
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSABITA BUDHATHOKICredential: M.D.
Location Address1561 LONG POND RD STE 302Rochester, NY 14626-4135
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Phone(585) 723-1120
Fax(585) 723-1776
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 23, 2016
Last NPPES UpdateDecember 15, 20255 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1760833412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 301318
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 301318 (NY)
Also ListedHospitalistTaxonomy 208M00000X · License 301318 (NY)
1561 LONG POND RD STE 302, Rochester, NY 14626
Open in Google Maps ↗

Secondary Practice Location 1

Location 1229 Summit St Ste 7Batavia, NY 14020-1645 · Phone (585) 723-1120 · Fax (585) 723-1776

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

Sabita Budhathoki 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 ID6204171580
PECOS Enrollment IDI20191028000882
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

5

Medicare enrollment records show Sabita Budhathoki reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rochester General Hospital
0.5 mi
Family Medicine
2350 RIDGEWAY AVE
Rochester, NY 14626
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1356412712 (585) 922-3150
Western New York Medical Practice P.C
5.3 mi
Urgent Care
470 LONG POND RD
Rochester, NY 14612
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 clinicians in this Medicare group
NPI 1154834877 (585) 338-1200
United Memorial Medical Center
27 mi
Family Medicine
127 NORTH ST
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
NPI 1669747085 (585) 343-6030
Newark Wayne Community Hospital
32 mi
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 clinicians in this Medicare group
NPI 1346369212 (315) 332-2022
Clifton Springs Sanitarium Co
33 mi
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
NPI 1366505463 (315) 462-9561

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14626 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

JESSICA CLAIRE O'CONNOR PA
Physician Assistant (Medical)
1561 LONG POND RD STE 302
ROCHESTER, NY 14626
Monroe County (585) 723-1120
ANUJ GUPTA MD
Internal Medicine
1561 LONG POND RD STE 302
ROCHESTER, NY 14626
Monroe County (585) 723-1120
PADMA PRIYA RATHINA SABAPATHY PA-C
Physician Assistant (Medical)
1561 LONG POND RD STE 302
ROCHESTER, NY 14626
Monroe County (585) 723-1120

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 Sabita Budhathoki's NPI number?

The NPI number for Sabita Budhathoki is 1760833412. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Sabita Budhathoki located?

Sabita Budhathoki practices at 1561 Long Pond Rd Ste 302, Rochester, NY 14626. The listed phone number is (585) 723-1120.

What is Sabita Budhathoki's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sabita Budhathoki enrolled in Medicare?

Yes. Sabita Budhathoki 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 Sabita Budhathoki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sabita Budhathoki reassigns Medicare benefits to 5 organizations: Rochester General Hospital (Rochester, NY), Western New York Medical Practice P.C (Rochester, NY), United Memorial Medical Center (Batavia, NY), Newark Wayne Community Hospital (Newark, NY) and Clifton Springs Sanitarium Co (Clifton Springs, NY). 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 Sabita Budhathoki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sabita Budhathoki affiliated with any hospitals?

According to CMS data, Sabita Budhathoki is affiliated with United Memorial Medical Center, Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Sabita Budhathoki was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.