Dr Sushma Vineet Pai, MD - Medicare Hospitalist in San Jose, CA

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Dr Sushma Vineet Pai, MD is a medicare enrolled "Hospitalist" physician in San Jose, California. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Quantum Bay Area Hospitalist Medical Group Inc, County Of Santa Clara and her current practice location is 751 S Bascom Ave, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 799-2536.

Dr Sushma Vineet Pai is licensed to practice in California (license number 104547) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619188596.

Contact Information

Dr Sushma Vineet Pai, MD
751 S Bascom Ave,
San Jose, CA 95128-2604
(408) 799-2536
Not Available

Map and Direction




Physician's Profile

Full NameDr Sushma Vineet Pai
GenderFemale
SpecialityHospitalist
Experience23 Years
Location751 S Bascom Ave, San Jose, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sushma Vineet Pai graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1619188596
  • Provider Enumeration Date: 05/24/2007
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3274673553
  • Enrollment ID: I20091217000159

Medical Identifiers

Medical identifiers for Dr Sushma Vineet Pai such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619188596NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 104547 (California)Secondary
208M00000XHospitalist 104547 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Santa Clara Valley Medical CenterSan jose, CAHospital
Regional Medical Center Of San JoseSan jose, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Quantum Bay Area Hospitalist Medical Group Inc064857337857
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 Sushma Vineet Pai allows following entities to bill medicare on her behalf.
Entity NameValley Medical Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588697122
PECOS PAC ID: 6709782345
Enrollment ID: O20031212000260
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659450955
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000757
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NameQuantum Healthcare Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568490597
PECOS PAC ID: 5294647574
Enrollment ID: O20040924000422
Entity NameHospitalist Medicine Physicians Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184663965
PECOS PAC ID: 8426062027
Enrollment ID: O20060202000956
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Other Medical Care Group
Entity IdentifiersNPI Number: 1629301346
PECOS PAC ID: 1254244973
Enrollment ID: O20110318000170
Entity NameCalifornia Emergency Physicians Medical Group A Professional Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215365218
PECOS PAC ID: 3274763875
Enrollment ID: O20140227000392
Entity NameQuantum Bay Area Hospitalist Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902279656
PECOS PAC ID: 0648573378
Enrollment ID: O20160129000570

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 Vineet Pai 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 Vineet Pai, MD
751 S Bascom Ave,
San Jose, CA 95128-2604

Ph: (408) 799-2536		Dr Sushma Vineet Pai, MD
751 S Bascom Ave,
San Jose, CA 95128-2604

Ph: (408) 799-2536

Reviews and Comments


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Y. L. Pham, MD
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Pallabi Sanyal-dey, M.D.
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Practice Location: 751 S Bascom Ave, San Jose, CA 95128
Phone: 510-350-2732    Fax: 510-879-9130

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.