Sumesh Khanal, MD - Medicare Internal Medicine in Rochester, NY

Sumesh Khanal, MD is a medicare enrolled "Hospitalist" physician in Rochester, New York. He graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Phoenixville Clinic Company Llc and his current practice location is 1425 Portland Ave, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at (585) 922-5067.

Sumesh Khanal is licensed to practice in New York (license number 311184) 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 1053807198.

Contact Information

Sumesh Khanal, MD
1425 Portland Ave,
Rochester, NY 14621-3011
(585) 922-5067
(585) 922-2908

Map and Direction




Physician's Profile

Full NameSumesh Khanal
GenderMale
SpecialityInternal Medicine
Experience10 Years
Location1425 Portland Ave, Rochester, New York
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:
  • Sumesh Khanal graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1053807198
  • Provider Enumeration Date: 07/02/2018
  • Last Update Date: 01/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5395091003
  • Enrollment ID: I20240217000042

Medical Identifiers

Medical identifiers for Sumesh Khanal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053807198NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 311184 (New York)Secondary
208M00000XHospitalist 311184 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tower Health At Home - BerksWyomissing, PAHome health agency
Phoenixville HospitalPhoenixville, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Phoenixville Clinic Company Llc5799796850103

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. Sumesh Khanal allows following entities to bill medicare on his behalf.
Entity NameTower Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609291350
PECOS PAC ID: 7618889213
Enrollment ID: O20040311000072
Entity NamePhoenixville Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891866182
PECOS PAC ID: 5799796850
Enrollment ID: O20060606000128
Entity NamePottstown Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649341934
PECOS PAC ID: 6406857184
Enrollment ID: O20070123000573

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. Sumesh Khanal 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
Sumesh Khanal, MD
100 Kings Hwy S,
Rochester, NY 14617-5504

Ph: (585) 922-5067
Sumesh Khanal, MD
1425 Portland Ave,
Rochester, NY 14621-3011

Ph: (585) 922-5067

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.