Sumathi Kemisetti, M.D.
NPI 1184668428 · Internal Medicine Physician · Albertson, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumathi Kemisetti, M.D. is a Internal Medicine Physician provider in Albertson, NY (NPI 1184668428).
Provider details
- NPI number
- 1184668428
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA07848100 (NJ)
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 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
2,254 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 | 1,205 | $87 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 550 | $131 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 226 | $127 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 170 | $192 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 60 | $146 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 43 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 63 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 194 | 26 |
| Furosemide | 124 | 16 |
| Apixabanbrand: Eliquis | 122 | 12 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 120 | 11 |
| Amlodipine Besylate | 100 | 16 |
| Metoprolol Tartrate | 99 | 12 |
| Levothyroxine Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$369 across 3 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
- 2006-06-16
- Last updated
- 2019-12-11
- Certified
- 2019-12-11
Frequently asked questions
- What is Sumathi Kemisetti's NPI number?
- Sumathi Kemisetti's National Provider Identifier (NPI) is 1184668428, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumathi Kemisetti's specialty?
- Sumathi Kemisetti is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sumathi Kemisetti located?
- Sumathi Kemisetti's practice location on file with NPPES is 18 Old Homestead Way, Albertson, NY 11507-1536.
- What is Sumathi Kemisetti's phone number?
- The practice phone number listed in the NPPES registry for Sumathi Kemisetti is (718) 806-1434.
- Does Sumathi Kemisetti accept Medicare?
- Sumathi Kemisetti is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumathi Kemisetti's NPI active?
- Yes — Sumathi Kemisetti's NPI (1184668428) is active in the NPPES registry as of the last update on 2019-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.