DR. SUSHMA SIMHA NAKKA MD
NPI 1871787036
Internal Medicine - Hematology & Oncology in Lakeland, FL

Q: What is Sushma Nakka's NPI number?

The NPI number for Sushma Nakka is 1871787036. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Q: What is Sushma Nakka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Sushma Nakka was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 30, 2007PECOS EnrolledAccepts Medicare Assignment

80.11/100

CMS Quality Rating

3525 LAKELAND HILLS BLVD, LAKELAND REGIONAL CANCER CENTER, LAKELAND, FL 33805(863) 603-6565(863) 603-6564 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Aug 7, 2020 (2 updates tracked since 2020).

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About Dr. Sushma Simha Nakka Md NPPES

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

DR. SUSHMA SIMHA NAKKA MD (NPI 1871787036) is an individual hematology & oncology provider in Lakeland, Florida, licensed in Florida (ME102036) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1871787036

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameDR. SUSHMA SIMHA NAKKACredential: MD

Location Address3525 LAKELAND HILLS BLVD, LAKELAND REGIONAL CANCER CENTERLakeland, FL 33805-1965

Mailing Address1324 Lakeland Hills Blvd, Managed Care DeptLakeland, FL 33805-4543

Phone(863) 603-6565

Fax(863) 603-6564

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateAugust 30, 2007

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

NPPES CertifiedJuly 21, 2022

✔ NPI 1871787036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in FL · ME102036✔ Licensed in NY · 228988

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

3525 LAKELAND HILLS BLVD, Lakeland, FL 33805

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.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

Dr. Sushma Simha Nakka 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 ID9537125539

PECOS Enrollment IDI20080808000425

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 16

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

478 services141 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.

457 services148 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

439 services133 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

182 services46 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

145 services79 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.

59 services31 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.

54 services48 patients

Lactate dehydrogenase (enzyme) level 83615

A Lactate Dehydrogenase level test measures the amount of this enzyme in your body. It's often done when tissue damage is suspected, as high levels can indicate issues like heart disease, lung disease, liver disease, or blood disorders. This test helps in diagnosing and monitoring these conditions.

47 services23 patients

Psa (prostate specific antigen) measurement, total 84153

PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.

45 services15 patients

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.

44 services36 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.

39 services39 patients

Ferritin (blood protein) level 82728

A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.

28 services21 patients

Iron level 83540

An iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.

27 services21 patients

Iron binding capacity 83550

Iron binding capacity is a blood test that measures how well your body can bind and transport iron. This helps your healthcare provider assess if your body has too little or too much iron, which can indicate certain health conditions.

26 services21 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

23 services18 patients

Folic acid level, serum 82746

A Folic Acid Level, Serum test measures the amount of folic acid, a type of B vitamin, in your blood. This vitamin is important for cell growth and development. It's crucial for your body to function well. If your levels are low, it may indicate a deficiency, which can lead to health issues.

22 services18 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100157

Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

80.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

63.29

Promoting Interoperability

Improvement Activities

Cost

64.85

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.

MUHAMMAD ZAIN FAROOQ MD

Internal Medicine (Medical Oncology)

3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Polk County (863) 687-1100

AMY R ANDERSON ARNP

Nurse Practitioner (Adult Health)

3525 LAKELAND HILLS BLVD, LAKELAND REGIONAL CANCER CENTER
LAKELAND, FL 33805

Polk County (863) 603-6565

JENNIFER J HUGHES PA-C

Physician Assistant

3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Polk County (863) 603-6565

DR. EVE GIBSON PAXTON DO

Surgery (Surgical Oncology)

3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Polk County (863) 603-6565

MANUEL ALBERTO MOLINA-VEGA MD

Surgery (Surgical Oncology)

3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Polk County (863) 603-6565

DR. SOWSAN H RASHEID M.D.

Surgery

3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Polk County (863) 284-3965

MICHAEL N. SHEVACH MD

Radiology (Radiation Oncology)

3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Polk County (863) 603-6565

DR. PETER R. HINDS MD

Urology

3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Polk County (863) 603-6565

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 Nakka's NPI number?

The NPI number for Sushma Nakka is 1871787036. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Sushma Nakka located?

Sushma Nakka practices at 3525 Lakeland Hills Blvd Lakeland Regional Cancer Center, Lakeland, FL 33805. The listed phone number is (863) 603-6565.

What is Sushma Nakka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Sushma Nakka enrolled in Medicare?

Yes. Sushma Nakka 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 Nakka accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare list Sushma Nakka 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 Nakka affiliated with any hospitals?

According to CMS data, Sushma Nakka is affiliated with Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sushma Nakka was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.