Individual provider Active NPI

Sushma M Patel, MD

  • Radiation Oncology Physician
  • Pinehurst, NC
National Provider Identifier
1023017191
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
98-01004 Issued in NC
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

Updated by the provider on Mar 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8910801MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100428000706 NC Practitioner - Radiation Oncology 8628113669 Reassigns benefits to 2 organizations

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
Pinehurst Radiation Oncology IncGroup PAC ID 3577607738, 3 clinicians

Practice addresses (Care Compare)

135 Page Rd N
Pinehurst, NC 28374-4607
Phone (910) 715-1056

Hospital & facility affiliations

  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

Merit-based Incentive Payment System (MIPS)

Final score
98.59 of 100Reported as group
Quality
100
Improvement activities
40
Cost
86.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
98-01004NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Radiation Oncology Inc Radiation Oncology CurrentSince May 1, 2003 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.