SAROJ SUBEDI MD
NPI 1942511498
Hospitalist in Phoenix, AZ

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment
92.29/100
CMS Quality Rating
9201 W THOMAS RD, HOSPITALIST SERVICE, PHOENIX, AZ 85037(623) 327-7313 Get Directions Write a Review

NPPES record last updated: November 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Saroj Subedi Md NPPES

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

SAROJ SUBEDI MD (NPI 1942511498) is an individual hospitalist provider in Phoenix, Arizona, licensed in Arizona (48034) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Williamson, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1942511498
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSAROJ SUBEDICredential: MD
Location Address9201 W THOMAS RD, HOSPITALIST SERVICEPhoenix, AZ 85037-3332
Mailing Address9201 W Thomas Rd, Hospitalist ServicePhoenix, AZ 85037-3332 · (623) 327-7313
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 30, 2010
Last NPPES UpdateNovember 7, 2015
NPI 1942511498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in AZ · 48034
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 48034 (AZ)
9201 W THOMAS RD, Phoenix, AZ 85037

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

Saroj Subedi 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 ID1759415508
PECOS Enrollment IDI20240326001044
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
176 services76 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.
149 services97 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
124 services121 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services34 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670041
Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85037 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

92.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40
Cost66.94

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.

Internal Medicine
9201 W THOMAS RD
PHOENIX, AZ 85037
Emergency Medicine
9201 W THOMAS RD
PHOENIX, AZ 85037
Clinical Exercise Physiologist
9201 W THOMAS RD
PHOENIX, AZ 85037
Hospitalist
9201 W THOMAS RD
PHOENIX, AZ 85037
Hospitalist
9201 W THOMAS RD
PHOENIX, AZ 85037
Hospitalist
9201 W THOMAS RD
PHOENIX, AZ 85037
Pharmacy Technician
9201 W THOMAS RD
PHOENIX, AZ 85037
Psychiatry & Neurology (Neurology)
9201 W THOMAS RD
PHOENIX, AZ 85037

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 Saroj Subedi's NPI number?

The NPI number for Saroj Subedi is 1942511498. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Saroj Subedi located?

Saroj Subedi practices at 9201 W Thomas Rd Hospitalist Service, Phoenix, AZ 85037. The listed phone number is (623) 327-7313.

What is Saroj Subedi's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Saroj Subedi enrolled in Medicare?

Yes. Saroj Subedi 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 Saroj Subedi accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Saroj Subedi 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 Saroj Subedi affiliated with any hospitals?

According to CMS data, Saroj Subedi is affiliated with Ascension Seton Williamson.

When was this NPI record last updated?

The NPPES record for Saroj Subedi was last updated on November 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.