Dr Sushma Medikayala, MD - Medicare Internal Medicine in Mount Rainier, MD

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Dr Sushma Medikayala, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Mount Rainier, Maryland. Her current practice location is 4608 29th St, Apt 2, Mount Rainier, Maryland. You can reach out to her office (for appointments etc.) via phone at (914) 413-1496.

Dr Sushma Medikayala is licensed to practice in North Carolina (license number 2014-01606) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518227396.

Contact Information

Dr Sushma Medikayala, MD
4608 29th St, Apt 2,
Mount Rainier, MD 20712-1312
(914) 413-1496
Not Available

Map and Direction




Physician's Profile

Full NameDr Sushma Medikayala
GenderFemale
SpecialityInternal Medicine - Nephrology
Location4608 29th St, Mount Rainier, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518227396
  • Provider Enumeration Date: 05/25/2012
  • Last Update Date: 10/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7810117629
  • Enrollment ID: I20140930000262

Medical Identifiers

Medical identifiers for Dr Sushma Medikayala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518227396NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2014-01606 (North Carolina)Secondary
207RN0300XInternal Medicine - Nephrology 2014-01606 (North Carolina)Primary

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 Sushma Medikayala allows following entities to bill medicare on her behalf.
Entity NameUniversity Of North Carolina At Chapel Hill
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780669200
PECOS PAC ID: 0648181156
Enrollment ID: O20031105000359
Entity NameEastern Nephrology Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417083783
PECOS PAC ID: 2264420512
Enrollment ID: O20040504001638
Entity NameUnc Physicians Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750704367
PECOS PAC ID: 5496940546
Enrollment ID: O20101115000646
Entity NameNorth Carolina Group Services, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629415914
PECOS PAC ID: 4789827254
Enrollment ID: O20130830000807

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 Sushma Medikayala 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 Sushma Medikayala, MD
4608 29th St, Apt 2,
Mount Rainier, MD 20712-1312

Ph: (914) 413-1496		Dr Sushma Medikayala, MD
4608 29th St, Apt 2,
Mount Rainier, MD 20712-1312

Ph: (914) 413-1496

Reviews and Comments


Internal Medicine Doctors in Mount Rainier, MD

Sukumaran C Aryangat, M.D.
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Phone: 301-927-3170    Fax: 301-927-0064
Rhea Green, MD
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Medicare: Medicare Enrolled
Practice Location: 4213 Russell Ave Apt 2, Mount Rainier, MD 20712
Phone: 202-361-3025    

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.