Susmita Adhikari, APRN
Individual provider Active NPI Family Nurse Practitioner · Raleigh, NC
NPI 1356901201 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1356901201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5018744 (NC)
- Practice address
- 4530 Fayetteville Rd
Raleigh, NC 27603-3614 - Phone
- (919) 235-1930
- NPI assigned
- Jun 13, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Saginaw Valley Medical College - NLG, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wake Specialty Physicians LLC
Practice addresses (Care Compare)
4530 Fayetteville Rd
Raleigh, NC 27603-3614
Phone (919) 350-0365
Hospital & facility affiliations
- Wakemed, Raleigh Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200825002875 | CT | Practitioner - Nurse Practitioner | 4385061118 | Reassigns benefits to 6 organizations |
| I20231026003037 | NC | Practitioner - Nurse Practitioner | 4385061118 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8203 | CT | MD | Pharmacist |
| 5018744 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Specialty Physicians LLC | Current |
Accepting new patients | |
| Wake Specialty Physicians LLC | Current |
Accepting new patients | |
| Bridgeport Family Medicine LLC | Current |
Accepting new patients | |
| Quentin Medical Group, LLC | Current |
Accepting new patients | |
| Lifelink Medical Group PLLC | Current |
Accepting new patients | |
| QMG3, LLC | Current |
Accepting new patients | |
| DRX High Point, PLLC | Current |
Accepting new patients | |
| Wake Specialty Physicians, LLC | Current | Accepting new patients | |
| Allmed Clinic PA | Current |
Accepting new patients | |
| QMG5,LLC | Current |
Accepting new patients | |
| QMG4, LLC | Current |
Accepting new patients | |
| QMG2,LLC | Current |
Accepting new patients | |
| Sanford Linn LLC | Past |
Accepting new patients | |
| QMG7,LLC | Past |
Accepting new patients |
Locations
4200 Main St
Bridgeport, CT 06606
Phone (203) 916-5151
754 Clinton Ave
Bridgeport, CT 06604
Phone (203) 243-6018
161 Boston Ave
Bridgeport, CT 06610
Phone (203) 333-4400
1918 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 583-8400
389 Bridgeport Ave
Shelton, CT 06484
Phone (203) 567-4171
57 Monroe Tpke
Trumbull, CT 06611
Phone (203) 675-1345
901 Denim Dr
Erwin, NC 28339
Phone (910) 897-5521
2305 N Main St
High Point, NC 27262
Phone (336) 884-4050
1231 Eastchester Dr
High Point, NC 27265
Phone (336) 884-4050
7851 Alexander Promenade Pl
Ste 130
Raleigh, NC 27617
Phone (843) 222-4455
10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
4530 Fayetteville Rd
Raleigh, NC 27603
Phone (919) 235-1930
3708 Forestview Rd
Ste 207
Raleigh, NC 27612
Phone (919) 781-8780
938 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 235-1525
Interoperability endpoints
- sadhikari493950@directhisp.wakemed.org
- https://api.platform.athenahealth.com/15153/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/11549/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5018744 | NC | Yes |
Addresses
Primary practice location
4530 Fayetteville Rd
Raleigh, NC 27603-3614
Mailing address
195 Acorn Grove Rd
Garner, NC 27529-3591
Phone (860) 406-2672
Other providers in Raleigh, NC
- Adequate Home Health LLC
- Adeleke Benjamin Adewumi
- Adekanbi Chijioke Adewunmi
- Omotunde Adeyemi
- Sanju Adhikari
- Sanjay Narayanaswamy Adi
- Frances I Adigwe
- Walter Onyeka Adigwe
- Stella Oluchi Adima
- Sewa Adjevi-Neglokpe
All providers in Raleigh, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.