Sushil Ojha, MD
NPI 1053377093 · Gastroenterology Physician · Downey, CA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sushil Ojha, MD is a Gastroenterology Physician provider in Downey, CA (NPI 1053377093).
Provider details
- NPI number
- 1053377093
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A45982 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
764 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 35 Minutes99232 | 481 | $77 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 115 | $170 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 51 | $114 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 43 | $132 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 31 | $170 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 318 | 120 |
| Peg3350/Sod Sul/Nacl/Kcl/Asb/Cbrand: Plenvu | 153 | 145 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 105 | 103 |
| Sucralfate | 56 | 20 |
| Omeprazole | 43 | 17 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 25 | 23 |
| Sodium, Potassium,mag Sulfates |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$170 across 9 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2011-12-07
Frequently asked questions
- What is Sushil Ojha's NPI number?
- Sushil Ojha's National Provider Identifier (NPI) is 1053377093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sushil Ojha's specialty?
- Sushil Ojha is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Sushil Ojha located?
- Sushil Ojha's practice location on file with NPPES is 11480 Brookshire Avenue, Downey, CA 90241-5020.
- What is Sushil Ojha's phone number?
- The practice phone number listed in the NPPES registry for Sushil Ojha is (562) 862-3656.
- Does Sushil Ojha accept Medicare?
- Sushil Ojha is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sushil Ojha's NPI active?
- Yes — Sushil Ojha's NPI (1053377093) is active in the NPPES registry as of the last update on 2011-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.