Active NPI
Sushma M Patel, MD
- Radiation Oncology Physician
- Pinehurst, NC
National Provider Identifier
1023017191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 98-01004
- Practice address
- 155 Memorial Drive
Pinehurst, NC 28374-8710 - Phone
- (910) 715-1056
- Fax
- (910) 715-1060
- NPI assigned
- Jul 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 98-01004 | NC | Primary |
Addresses
Primary practice location
155 Memorial Drive
Pinehurst, NC 28374-8710
Mailing address
PO Box 90
Southern Pines, NC 28388-0090
Phone (910) 715-1056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8910801 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 Page Rd N
Pinehurst, NC 28374-4607
Phone (910) 715-1056
Hospital & facility affiliations
- Firsthealth Moore Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.59 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 86.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98-01004 | NC | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinehurst Radiation Oncology Inc | Radiation Oncology | Current | Accepting new patients |
| Cincinnati Hematology Oncology Inc | Past | Accepting new patients | |
| MCPC-25 LLC | Radiation Oncology | Past | Accepting new patients |
Locations
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
Interoperability endpoints
- spatel13186@firsthealth.direct-ci.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiation Oncology Physician
- Pinehurst, NC
- NPI 1194757583
-
- Radiation Oncology Physician
- Pinehurst, NC
- NPI 1821789322
-
- Specialist
- Cincinnati, OH
- NPI 1003943721
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1023017191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283880090",
"telephone_number": "910-715-1056",
"fax_number": "910-715-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MEMORIAL DRIVE",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748710",
"telephone_number": "910-715-1056",
"fax_number": "910-715-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SUSHMA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-20",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "98-01004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8910801",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.