Sumesh Khanal, M.D.
NPI 1053807198 · Hospitalist Physician · Rochester, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumesh Khanal, M.D. is a Hospitalist Physician provider in Rochester, NY (NPI 1053807198).
Provider details
- NPI number
- 1053807198
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 311184 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
722 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 | 312 | $126 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 199 | $121 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 130 | $84 |
| Advance Care Planning, First 30 Minutes99497 | 22 | $80 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 16 | $185 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 16 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 49 | 23 |
| Apixabanbrand: Eliquis | 47 | 20 |
| Atorvastatin Calcium | 35 | 18 |
| Pantoprazole Sodium | 26 | 21 |
| Cefuroxime Axetilbrand: Cefuroxime | 25 | 23 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 23 | — |
Practice location
Mailing address
Additional practice locations (4)
- 127 North StBatavia, NY 14020-1631Phone: (585) 343-6030Fax: (585) 344-7434
- 2 Coulter RdClifton Springs, NY 14432-1122Phone: (315) 462-1472Fax: (315) 462-2639
- 1200 Driving Park AveNewark, NY 14513-1090Phone: (315) 359-2123Fax: (315) 359-2167
- 1555 Long Pond RdRochester, NY 14626-4122Phone: (585) 723-7870Fax: (585) 723-7871
Registry dates
- Enumerated
- 2018-07-02
- Last updated
- 2024-01-12
- Certified
- 2024-01-12
Frequently asked questions
- What is Sumesh Khanal's NPI number?
- Sumesh Khanal's National Provider Identifier (NPI) is 1053807198, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumesh Khanal's specialty?
- Sumesh Khanal is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Sumesh Khanal located?
- Sumesh Khanal's practice location on file with NPPES is 1425 Portland Ave, Rochester, NY 14621-3011.
- What is Sumesh Khanal's phone number?
- The practice phone number listed in the NPPES registry for Sumesh Khanal is (585) 922-5067.
- Does Sumesh Khanal accept Medicare?
- Sumesh Khanal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumesh Khanal's NPI active?
- Yes — Sumesh Khanal's NPI (1053807198) is active in the NPPES registry as of the last update on 2024-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.