Suman Thapaliya, MD
NPI 1225559297 · Internal Medicine Physician · Danville, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Suman Thapaliya, MD is a Internal Medicine Physician provider in Danville, PA (NPI 1225559297).
Provider details
- NPI number
- 1225559297
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
486 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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 140 | $15 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 113 | $91 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 99 | $113 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 30 | $62 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 30 | $108 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 55 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 162 | 48 |
| Lisinopril | 84 | 28 |
| Omeprazole | 80 | 26 |
| Metoprolol Succinate | 65 | 18 |
| Amlodipine Besylate | 62 | 21 |
| Levothyroxine Sodium | 60 | 20 |
| Gabapentin |
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-06-29
- Last updated
- 2021-02-11
- Certified
- 2021-02-11
Frequently asked questions
- What is Suman Thapaliya's NPI number?
- Suman Thapaliya's National Provider Identifier (NPI) is 1225559297, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Suman Thapaliya's specialty?
- Suman Thapaliya is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Suman Thapaliya located?
- Suman Thapaliya's practice location on file with NPPES is 100 N Academy Ave, Danville, PA 17822-1122.
- What is Suman Thapaliya's phone number?
- The practice phone number listed in the NPPES registry for Suman Thapaliya is (570) 271-6164.
- Does Suman Thapaliya accept Medicare?
- Suman Thapaliya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Suman Thapaliya's NPI active?
- Yes — Suman Thapaliya's NPI (1225559297) is active in the NPPES registry as of the last update on 2021-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.