SUSMITHA JOSHI NP
NPI 1932683091
Nurse Practitioner in Durham, NC

Active since September 24, 2018PECOS EnrolledAccepts Medicare Assignment
3643 N ROXBORO ST FL 6, DURHAM, NC 27704(919) 470-9159 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2022, Sep 24, 2018 (2 updates tracked since 2018).

About Susmitha Joshi Np NPPES

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

SUSMITHA JOSHI NP (NPI 1932683091) is an individual nurse practitioner in Durham, North Carolina, licensed in North Carolina (5011008) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1932683091
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSMITHA JOSHICredential: NP
Location Address3643 N ROXBORO ST FL 6Durham, NC 27704-2702
Mailing AddressPo Box 110566Durham, NC 27709-5566 · (919) 620-4855
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 24, 2018
Last NPPES UpdateAugust 29, 20222 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
NPI 1932683091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5011008
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 5011008 (NC)
3643 N ROXBORO ST FL 6, Durham, NC 27704

Accepted 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

Susmitha Joshi Np 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 ID4688004492
PECOS Enrollment IDI20200420000290
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 2

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 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.
358 services150 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.
19 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 7

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

Occupational Therapist
3643 N ROXBORO ST FL 6
DURHAM, NC 27704
Registered Nurse (Registered Nurse First Assistant)
3643 N ROXBORO ST FL 6
DURHAM, NC 27704
Physician Assistant (Medical)
3643 N ROXBORO ST FL 6
DURHAM, NC 27704
Nurse's Aide
3643 N ROXBORO ST FL 6
DURHAM, NC 27704
Respiratory Therapist, Certified
3643 N ROXBORO ST FL 6
DURHAM, NC 27704
Internal Medicine
3643 N ROXBORO ST FL 6
DURHAM, NC 27704
Hospitalist
3643 N ROXBORO ST FL 6
DURHAM, NC 27704

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 Susmitha Joshi's NPI number?

The NPI number for Susmitha Joshi is 1932683091. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Where is Susmitha Joshi located?

Susmitha Joshi practices at 3643 N Roxboro St Fl 6, Durham, NC 27704. The listed phone number is (919) 470-9159.

What is Susmitha Joshi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Susmitha Joshi enrolled in Medicare?

Yes. Susmitha Joshi 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 Susmitha Joshi accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Susmitha Joshi 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 Susmitha Joshi affiliated with any hospitals?

According to CMS data, Susmitha Joshi is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Susmitha Joshi was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.