Smarika Sapkota, MD
NPI 1417362617 · Rheumatology Physician · Denver, CO
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Smarika Sapkota, MD is a Rheumatology Physician provider in Denver, CO (NPI 1417362617).
Provider details
- NPI number
- 1417362617
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- DR.0066532 (CO)
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
12 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
425 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 177 | $139 |
| 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 | 89 | $16 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 59 | $173 |
| Complete Ultrasound Scan of Joint76881 | 32 | $42 |
| Limited Ultrasound Scan of Joint Or Other Extremity Structure Except Blood Vessels76882 | 31 | $32 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxychloroquine Sulfate | 156 | 65 |
| Prednisone | 96 | 42 |
| Methotrexate Sodiumbrand: Methotrexate | 64 | 23 |
| Allopurinol | 35 | 12 |
| Adalimumabbrand: Humira(cf) Pen | 35 | — |
| Leflunomide | 29 | — |
| Upadacitinibbrand: Rinvoq | 25 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$380 across 12 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
- 2014-06-25
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Frequently asked questions
- What is Smarika Sapkota's NPI number?
- Smarika Sapkota's National Provider Identifier (NPI) is 1417362617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Smarika Sapkota's specialty?
- Smarika Sapkota is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Smarika Sapkota located?
- Smarika Sapkota's practice location on file with NPPES is 1400 Jackson St, Denver, CO 80206-2762.
- What is Smarika Sapkota's phone number?
- The practice phone number listed in the NPPES registry for Smarika Sapkota is (303) 388-4461.
- Does Smarika Sapkota accept Medicare?
- Smarika Sapkota is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Smarika Sapkota's NPI active?
- Yes — Smarika Sapkota's NPI (1417362617) is active in the NPPES registry as of the last update on 2026-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.