Sushil Ghimire, MD - Medicare Hospitalist in Camden, NJ

  1. Home
  2. Hematology & Oncology
  3. NJ
  4. Camden
Sushil Ghimire, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Camden, New Jersey. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Cmc Department Of Medicine Group Pa, Cmc Department Of Medicine Group Pa and his current practice location is 2 Cooper Plz, Camden, New Jersey. You can reach out to his office (for appointments etc.) via phone at (855) 632-2667.

Sushil Ghimire is licensed to practice in New Jersey (license number 25MA11121700) 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 1912314840.

Contact Information

Sushil Ghimire, MD
2 Cooper Plz,
Camden, NJ 08103-1461
(855) 632-2667
Not Available

Map and Direction




Physician's Profile

Full NameSushil Ghimire
GenderMale
SpecialityHospitalist
Experience12 Years
Location2 Cooper Plz, Camden, New Jersey
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:
  • Sushil Ghimire graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1912314840
  • Provider Enumeration Date: 07/11/2014
  • Last Update Date: 08/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9032400114
  • Enrollment ID: I20170802002437

Medical Identifiers

Medical identifiers for Sushil Ghimire such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912314840NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MT206484 (Pennsylvania)Secondary
207R00000XInternal Medicine MD461645 (Pennsylvania)Secondary
207RH0003XInternal Medicine - Hematology & Oncology 25MA11121700 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cooper University HospitalCamden, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cmc Department Of Medicine Group Pa2163335878336
Cmc Department Of Medicine Group Pa2163335878336

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. Sushil Ghimire 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 NameCmc Department Of Medicine Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437281771
PECOS PAC ID: 2163335878
Enrollment ID: O20160208001039
Entity NameRedeemer Cancer Care Physicians Network, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447922083
PECOS PAC ID: 6406236835
Enrollment ID: O20220701001653

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. Sushil Ghimire 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
Sushil Ghimire, MD
1 Federal St # 200,
Camden, NJ 08103-1088

Ph: (856) 356-4924		Sushil Ghimire, MD
2 Cooper Plz,
Camden, NJ 08103-1461

Ph: (855) 632-2667

Reviews and Comments


Internal Medicine Doctors in Camden, NJ

Howard Isadore Kesselheim, D.O.
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 2 Cooper Plz, Camden, NJ 08103
Phone: 855-632-2667    
Richard Arthur Hellander, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 817 Federal St, Camden, NJ 08103
Phone: 856-583-2400    
Sivakoti Nagireddy Guda, M.D
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Haddon Ave Fl 6, Camden, NJ 08103
Phone: 856-757-3500    
Dr. Bradley Foster Bender, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Cooper Plz, Camden, NJ 08103
Phone: 856-342-3150    
Dr. Amanda A Valvano, DO
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Cooper Plz, Camden, NJ 08103
Phone: 856-342-2000    
Niku Thomas, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Cooper Plz, Camden, NJ 08103
Phone: 856-342-2488    
Dr. Elizabeth Leilani Lee, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 3 Cooper Plz Rm 104, Camden, NJ 08103
Phone: 856-968-8695    

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.