NPIMap

Individual provider Active NPI

Sushil Kumar Ojha, MD

  • Gastroenterology Physician
  • Downey, CA
National Provider Identifier
1053377093
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A45982 Issued in CA
Practice address
11480 Brookshire Avenue
Suite 308
Downey, CA 90241-5020
Phone
(562) 862-3656
Fax
(562) 862-2948
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A45982 CA Primary

Addresses

Primary practice location

11480 Brookshire Avenue
Suite 308
Downey, CA 90241-5020

Mailing address

11480 Brookshire Avenue
Suite 308
Downey, CA 90241-5020
Phone (562) 862-3656

Other identifiers 1

IdentifierTypeStateIssuer
00A459820MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330001867 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 1850383936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1975
Medicare assignment
May accept Medicare assignment
Group practices
Gastro-Digestive Medical GroupGroup PAC ID 8325030406, 3 clinicians

Practice addresses (Care Compare)

11480 Brookshire Ave
Downey, CA 90241-5025
Phone (562) 862-3656

3621 Martin Luther King Jr Blvd
Suite 5
Lynwood, CA 90262-3512
Phone (310) 632-0906

Hospital & facility affiliations

  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393
  • Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Saint Francis Medical Center Hospital, Lynwood, CA, CCN 050104

Merit-based Incentive Payment System (MIPS)

Final score
96.15 of 100Reported as group
Quality
78.12
Improvement activities
40
Cost
83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy56
Upper gastrointestinal (GI) endoscopy for acid reflux86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A45982CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro-Digestive Medical Group Gastroenterology CurrentSince Nov 1, 2003 Accepting new patients
University of California Irvine Past Accepting new patients
St Francis Medical Center Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients

Locations

11480 Brookshire Ave
Ste 308
Downey, CA 90241
Phone (562) 862-3656

3621 Martin Luther King Jr Blvd
Ste 5
Lynwood, CA 90262
Phone (310) 632-0906

3621 Martin Luther King Jr Blvd
Ste 6
Lynwood, CA 90262
Phone (310) 537-1503

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJEEBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJEEBA/Endpoint/IJEEBA

Organizations & group practices 5

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 5

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1053377093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVENUE",
            "address_2": "SUITE 308",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415020",
            "telephone_number": "562-862-3656",
            "fax_number": "562-862-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVENUE",
            "address_2": "SUITE 308",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415020",
            "telephone_number": "562-862-3656",
            "fax_number": "562-862-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJHA",
        "first_name": "SUSHIL",
        "middle_name": "KUMAR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A45982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A459820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.