Sushma Sapkota Pandey, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

003385 Issued in NY

Practice address

13407 State Route 12
Boonville Family Care
Boonville, NY 13309

Phone

(315) 942-3500

Fax

(315) 942-3618

NPI assigned

Jan 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northway Medical Associates, PLLC

  • Family Medicine Physician
  • Fulton, NY
  • NPI 1952493686

  Internal Medicine

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1124265749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NORTH JAMES STREET",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-338-7000",
            "fax_number": "315-338-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13407 STATE ROUTE 12",
            "address_2": "BOONVILLE FAMILY CARE",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "13309",
            "telephone_number": "315-942-3500",
            "fax_number": "315-942-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDEY",
        "first_name": "SUSHMA SAPKOTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "003385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03161786",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann F Mellen, FNP
• Andrew J Milone, PA
• Elaine Marie Moore, DPT
• Mountain Mental Health Group
• Melissa M Muha, FNP
• Todd M Podkowka, D.O.
• Shaylagh Randall, BS
• Corrine Elizabeth Rauscher, FNP-BC
• Barbara Rice, LCSW
• Richard L Sears Thomas N Caruso DDS PC

• Internal Medicine Physician in Boonville, NY
• Providers in Boonville, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.