Durga Adhikari, MD
NPI 1538319074 · Rheumatology Physician · Summerville, SC
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Durga Adhikari, MD is a Rheumatology Physician provider in Summerville, SC (NPI 1538319074).
Provider details
- NPI number
- 1538319074
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2014-00517 (NC)
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 tenure25% of score
17 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
3,686 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) |
|---|---|---|
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 | 608 | $119 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 418 | $122 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 389 | $8 |
| Blood Creatinine Level82565 | 347 | $5 |
| Liver Enzyme (sgot), Level84450 | 251 | $5 |
| Liver Enzyme (sgpt), Level84460 | 251 | $5 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 26 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxychloroquine Sulfate | 305 | 111 |
| Methotrexate Sodiumbrand: Methotrexate | 240 | 75 |
| Allopurinol | 135 | 35 |
| Prednisone | 132 | 65 |
| Leflunomide | 92 | 34 |
| Adalimumabbrand: Humira(cf) Pen | 51 | — |
| Meloxicam | 50 | 25 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$981 across 49 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
- 2008-09-21
- Last updated
- 2020-11-12
- Certified
- 2020-11-12
Frequently asked questions
- What is Durga Adhikari's NPI number?
- Durga Adhikari's National Provider Identifier (NPI) is 1538319074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Durga Adhikari's specialty?
- Durga Adhikari is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Durga Adhikari located?
- Durga Adhikari's practice location on file with NPPES is 2001 2nd Ave Ste 201, Summerville, SC 29486-7887.
- What is Durga Adhikari's phone number?
- The practice phone number listed in the NPPES registry for Durga Adhikari is (843) 572-4840.
- Does Durga Adhikari accept Medicare?
- Durga Adhikari is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Durga Adhikari's NPI active?
- Yes — Durga Adhikari's NPI (1538319074) is active in the NPPES registry as of the last update on 2020-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.