Sujan Thapaliya, M.D.
NPI 1003267287 · Internal Medicine Physician · Baltimore, MD
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sujan Thapaliya, M.D. is a Internal Medicine Physician provider in Baltimore, MD (NPI 1003267287).
Provider details
- NPI number
- 1003267287
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- D0086757 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
741 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 446 | $120 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 127 | $116 |
| Critical Care, First 30-74 Minutes99291 | 61 | $214 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 41 | $176 |
| Smoking and Tobacco Use Intensive Counseling, 4-10 Minutes99406 | 28 | $11 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 23 | $80 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 25 | 24 |
| Pantoprazole Sodium | 15 | 15 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 14 | 14 |
| Furosemide | 13 | 13 |
| Prednisone | 12 | 12 |
| Apixabanbrand: Eliquis | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (2)
- 201 E University PkwyBaltimore, MD 21218-2829Phone: (410) 554-2000
- 3001 S Hanover StBaltimore, MD 21225-1233Phone: (855) 633-0363
Registry dates
- Enumerated
- 2016-06-28
- Last updated
- 2019-06-26
Frequently asked questions
- What is Sujan Thapaliya's NPI number?
- Sujan Thapaliya's National Provider Identifier (NPI) is 1003267287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sujan Thapaliya's specialty?
- Sujan Thapaliya is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sujan Thapaliya located?
- Sujan Thapaliya's practice location on file with NPPES is 5601 Loch Raven Blvd, Baltimore, MD 21239-2945.
- What is Sujan Thapaliya's phone number?
- The practice phone number listed in the NPPES registry for Sujan Thapaliya is (855) 633-0363.
- Does Sujan Thapaliya accept Medicare?
- Sujan Thapaliya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sujan Thapaliya's NPI active?
- Yes — Sujan Thapaliya's NPI (1003267287) is active in the NPPES registry as of the last update on 2019-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.