Individual provider Active NPI

Susmita Adhikari, APRN

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1356901201
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5018744 Issued in NC
Practice address
4530 Fayetteville Rd
Raleigh, NC 27603-3614
Phone
(919) 235-1930
NPI assigned
Jun 13, 2019
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5018744 NC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200825002875 CT Practitioner - Nurse Practitioner 4385061118 Reassigns benefits to 6 organizations
I20231026003037 NC Practitioner - Nurse Practitioner 4385061118 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 7416006085, 178 clinicians

Practice addresses (Care Compare)

4530 Fayetteville Rd
Raleigh, NC 27603-3614
Phone (919) 350-0365

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5018744NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QMG4, LLC CurrentSince Jan 1, 2022 Accepting new patients
QMG3, LLC CurrentSince Jan 1, 2022 Accepting new patients
Lifelink Medical Group PLLC CurrentSince Jan 1, 2024 Accepting new patients
Allmed Clinic PA CurrentSince Jan 1, 2024 Accepting new patients
QMG5,LLC CurrentSince Jan 1, 2022 Accepting new patients
QMG2,LLC CurrentSince Jan 1, 2022 Accepting new patients
Quentin Medical Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
Bridgeport Family Medicine LLC CurrentSince Jun 17, 2020 Accepting new patients
Wake Specialty Physicians LLC CurrentSince May 9, 2024 Accepting new patients
DRX High Point, PLLC CurrentSince Sep 12, 2023 Accepting new patients
Wake Specialty Physicians, LLC Current Accepting new patients
Wake Specialty Physicians LLC CurrentSince May 9, 2024 Accepting new patients
QMG7,LLC PastSince Jan 1, 2022 Accepting new patients
Sanford Linn LLC PastSince May 13, 2017 Accepting new patients

Locations

161 Boston Ave
Bridgeport, CT 06610
Phone (203) 333-4400

4200 Main St
Bridgeport, CT 06606
Phone (203) 916-5151

754 Clinton Ave
Bridgeport, CT 06604
Phone (203) 243-6018

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

1231 Eastchester Dr
High Point, NC 27265
Phone (336) 884-4050

2305 N Main St
High Point, NC 27262
Phone (336) 884-4050

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

3708 Forestview Rd
Ste 207
Raleigh, NC 27612
Phone (919) 781-8780

4530 Fayetteville Rd
Raleigh, NC 27603
Phone (919) 235-1930

7851 Alexander Promenade Pl
Ste 130
Raleigh, NC 27617
Phone (843) 222-4455

938 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 235-1525

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11549/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/15153/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sadhikari493950@directhisp.wakemed.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 2

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1356901201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 ACORN GROVE RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293591",
            "telephone_number": "860-406-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 FAYETTEVILLE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033614",
            "telephone_number": "919-235-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADHIKARI",
        "first_name": "SUSMITA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.