Sumina Sapkota, MD
NPI 1760155923 · Internal Medicine Physician · Jacksonville, NC
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumina Sapkota, MD is a Internal Medicine Physician provider in Jacksonville, NC (NPI 1760155923).
Provider details
- NPI number
- 1760155923
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2024-02190 (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 tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
328 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 149 | $109 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 131 | $73 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 48 | $105 |
Typical Medicare-allowed amounts for these services range $73–$109 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-07-25
- Last updated
- 2024-08-30
- Certified
- 2024-08-30
Frequently asked questions
- What is Sumina Sapkota's NPI number?
- Sumina Sapkota's National Provider Identifier (NPI) is 1760155923, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumina Sapkota's specialty?
- Sumina Sapkota is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sumina Sapkota located?
- Sumina Sapkota's practice location on file with NPPES is 317 Western Blvd, Jacksonville, NC 28546-6338.
- What is Sumina Sapkota's phone number?
- The practice phone number listed in the NPPES registry for Sumina Sapkota is (910) 577-2345.
- Does Sumina Sapkota accept Medicare?
- Sumina Sapkota is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumina Sapkota's NPI active?
- Yes — Sumina Sapkota's NPI (1760155923) is active in the NPPES registry as of the last update on 2024-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.