DR. SUSHIL RAJ PATIL MD
NPI 1821095738
Internal Medicine - Gastroenterology in Hermitage, TN
About Dr. Sushil Raj Patil Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSHIL RAJ PATIL MD (NPI 1821095738) is an individual gastroenterology provider in Hermitage, Tennessee, licensed in Tennessee (30280) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Tristar Summit Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 1
Accepted 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
Dr. Sushil Raj Patil 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.
Medicare Billing Reassignment
Medicare enrollment records show Sushil Patil reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Germantown, TN 38138
- Reassigned Medicare billing, Tennessee enrollment
- 154 clinicians in this Medicare group
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 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tristar Summit Medical Center
Acute Care Hospitals · Hermitage, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HERMITAGE, TN 37076
HERMITAGE, TN 37076
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 Patil's NPI number?
The NPI number for Sushil Patil is 1821095738. It was assigned to this individual provider in the NPPES registry on July 7, 2005.
Where is Sushil Patil located?
Sushil Patil practices at 5653 Frist Blvd Ste 530, Hermitage, TN 37076. The listed phone number is (615) 885-1093.
What is Sushil Patil's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Sushil Patil enrolled in Medicare?
Yes. Sushil Patil 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 organization bills Medicare for Sushil Patil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sushil Patil reassigns Medicare benefits to Gastroenterology Center Of The Midsouth PLLC (Germantown, TN). The 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 Patil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sushil Patil accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Sushil Patil 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 Patil affiliated with any hospitals?
According to CMS data, Sushil Patil is affiliated with Tristar Summit Medical Center.
When was this NPI record last updated?
The NPPES record for Sushil Patil was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Sushil Raj Patil, MD · NPI 1821095738
Gastroenterology physician in Hermitage, Tennessee. Individual provider, active in the CMS NPPES registry since July 7, 2005.
## Identity
- **NPI:** 1821095738 (Entity type: Individual)
- **Enumerated:** July 7, 2005
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 30280 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 5653 FRIST BLVD STE 530, Hermitage, TN 37076-2067
- **Phone:** (615) 885-1093 · **Fax:** (615) 885-1110
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Gastroenterology Center Of The Midsouth PLLC (NPI 1417932492, Germantown, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 1995
## Record status
- **NPPES last updated:** February 25, 2026
- **Other identifiers:** Medicaid Q013629 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1821095738) · Data from the CMS NPPES public registry.