Dr Sushil Adhikari, MD - Medicare Internal Medicine in San Jose, CA

Dr Sushil Adhikari, MD is a medicare enrolled "Hospitalist" physician in San Jose, California. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice County Of Santa Clara and his current practice location is 2105 Forest Ave, San Jose, California. You can reach out to his office (for appointments etc.) via phone at (408) 947-2500.

Dr Sushil Adhikari is licensed to practice in California (license number C171400) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295907301.

Contact Information

Dr Sushil Adhikari, MD
2105 Forest Ave,
San Jose, CA 95128-1425
(408) 947-2500
Not Available

Map and Direction




Physician's Profile

Full NameDr Sushil Adhikari
GenderMale
SpecialityInternal Medicine
Experience21 Years
Location2105 Forest Ave, San Jose, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sushil Adhikari graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1295907301
  • Provider Enumeration Date: 03/28/2008
  • Last Update Date: 12/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8426172404
  • Enrollment ID: I20210610002882

Medical Identifiers

Medical identifiers for Dr Sushil Adhikari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295907301NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 52732 (Minnesota)Secondary
207R00000XInternal Medicine 125053284 (Illinois)Secondary
207R00000XInternal Medicine 036124008 (Illinois)Secondary
208M00000XHospitalist C171400 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Santa Clara Valley Medical CenterSan jose, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
County Of Santa Clara1254244973722

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sushil Adhikari allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sushil Adhikari is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sushil Adhikari, MD
6480 Godani St,
Gilroy, CA 95020-2719

Ph: (773) 629-2176
Dr Sushil Adhikari, MD
2105 Forest Ave,
San Jose, CA 95128-1425

Ph: (408) 947-2500

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.