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SUSHMA KOLA MD
NPI 1790213403
Psychiatry & Neurology - Neurology in Pittsburgh, PA

Active since May 24, 2017PECOS EnrolledAccepts Medicare Assignment
320 EAST NORTH AVENUE, HEMLOCK BUILDING, PITTSBURGH, PA 15212(412) 359-6200 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2024, Jul 25, 2023, Oct 15, 2021 and 4 more (7 updates tracked since 2017).

About Sushma Kola Md NPPES

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

SUSHMA KOLA MD (NPI 1790213403) is an individual neurology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD486219) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (2017).

NPPES Registry Identity

NPI1790213403
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameSUSHMA KOLACredential: MD
Location Address320 EAST NORTH AVENUE, HEMLOCK BUILDINGPittsburgh, PA 15212
Mailing Address320 East North Avenue, Hemlock BuildingPittsburgh, PA 15212 · (412) 359-6200
Phone(412) 359-6200
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2017
Enumeration DateMay 24, 2017
Last NPPES UpdateAugust 8, 20247 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1790213403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PA · MD486219
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
320 EAST NORTH AVENUE, Pittsburgh, PA 15212
Open in Google Maps ↗

Other Identifiers 1

Other16266906Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 Kola 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 ID7911279674
PECOS Enrollment IDI20240815003991
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 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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services45 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
41 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 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.
25 services23 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.
12 services12 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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

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.

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.

SANDRA MARCELA LOPEZ MD
Emergency Medicine
320 EAST NORTH AVENUE, ALLEGHENY GENERAL HOSPITAL
PITTSBURGH, PA 15212
Allegheny County (330) 994-4333
MISS SARAH MARIE MCGOWAN PA-C
Physician Assistant
320 EAST NORTH AVENUE, 1ST FLOOR, CVI 1
PITTSBURGH, PA 15212
Allegheny County (412) 359-8820
STEPHEN D. SAMPLES MD
Psychiatry & Neurology (Neurology)
320 EAST NORTH AVENUE, HEMLOCK BUILDING
PITTSBURGH, PA 15212
Allegheny County (412) 359-6200
DR. ALEXANDER STEPHEN ZORETICH M.D.
Emergency Medicine
320 EAST NORTH AVENUE, ALLEGHENY GENERAL HOSPITAL,
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905
DR. BRETT R. NIELSON D.O.
Radiology (Diagnostic Radiology)
320 EAST NORTH AVENUE
PITTSBURGH, PA 15212
Allegheny County (254) 383-7282
MS. RACHEL LYNNE PEABODY PA-C
Physician Assistant (Medical)
320 EAST NORTH AVENUE, 1ST FLOOR, CVI 2
PITTSBURGH, PA 15212
Allegheny County (412) 359-3551
JULIA SOLOMINA M.D.
Student in an Organized Health Care Education/Training Program
320 EAST NORTH AVENUE, ALLEGHENY GENERAL HOSPITAL,
PITTSBURGH, PA 15212
Allegheny County (412) 359-6907
ANTHONY RYAN LITTLE M.D.
Anesthesiology
320 EAST NORTH AVENUE, ALLEGHENY GENERAL HOSPITAL
PITTSBURGH, PA 15212
Allegheny County (412) 359-4971

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 Kola's NPI number?

The NPI number for Sushma Kola is 1790213403. It was assigned to this individual provider in the NPPES registry on May 24, 2017.

Where is Sushma Kola located?

Sushma Kola practices at 320 East North Avenue Hemlock Building, Pittsburgh, PA 15212. The listed phone number is (412) 359-6200.

What is Sushma Kola's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Sushma Kola enrolled in Medicare?

Yes. Sushma Kola 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 Kola accept?

Health plans from Medica list Sushma Kola 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 Kola affiliated with any hospitals?

According to CMS data, Sushma Kola is affiliated with Allegheny Valley Hospital, Allegheny General Hospital, Canonsburg General Hospital and Forbes Hospital.

When was this NPI record last updated?

The NPPES record for Sushma Kola was last updated on August 8, 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.