Sushma Medikayala, M.D
NPI 1518227396 · Nephrology Physician · Mount Rainier, MD
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sushma Medikayala, M.D is a Nephrology Physician provider in Mount Rainier, MD (NPI 1518227396).
Provider details
- NPI number
- 1518227396
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2014-01606 (NC)
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
14 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
2,627 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 | 250 | $73 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 192 | $9 |
| Dialysis Services, 4 Or More Physician Visits Per Month (20 Years Or Older)90960 | 188 | $330 |
| 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 | 171 | $15 |
| Phosphate Level84100 | 170 | $5 |
| Parathormone (parathyroid Hormone) Level83970 |
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 |
|---|---|---|
| Dapagliflozin Propanediolbrand: Farxiga | 217 | 58 |
| Amlodipine Besylate | 68 | 13 |
| Hydrochlorothiazide | 25 | — |
| Furosemide | 25 | — |
| Losartan Potassium | 24 | — |
| Lisinopril | 20 | 12 |
| Allopurinol | 17 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$354 across 18 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
- 2012-05-25
- Last updated
- 2022-10-20
- Certified
- 2022-10-20
Frequently asked questions
- What is Sushma Medikayala's NPI number?
- Sushma Medikayala's National Provider Identifier (NPI) is 1518227396, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sushma Medikayala's specialty?
- Sushma Medikayala is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Sushma Medikayala located?
- Sushma Medikayala's practice location on file with NPPES is 4608 29th St, Mount Rainier, MD 20712-1312.
- What is Sushma Medikayala's phone number?
- The practice phone number listed in the NPPES registry for Sushma Medikayala is (914) 413-1496.
- Does Sushma Medikayala accept Medicare?
- Sushma Medikayala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sushma Medikayala's NPI active?
- Yes — Sushma Medikayala's NPI (1518227396) is active in the NPPES registry as of the last update on 2022-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.