Sushma Boya, M.D.
NPI 1821260019 · Internal Medicine Physician · La Mesa, CA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sushma Boya, M.D. is a Internal Medicine Physician provider in La Mesa, CA (NPI 1821260019).
Provider details
- NPI number
- 1821260019
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A116672 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 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
873 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 | 284 | $80 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 238 | $176 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 172 | $118 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 110 | $121 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 53 | $84 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 16 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 28 | 28 |
| Pantoprazole Sodium | 24 | 24 |
| Prednisone | 22 | 22 |
| Cefuroxime Axetilbrand: Cefuroxime | 15 | 15 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 14 | 14 |
| Metoprolol Succinate | 13 | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$176 across 7 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
- 2008-03-27
- Last updated
- 2016-06-25
Frequently asked questions
- What is Sushma Boya's NPI number?
- Sushma Boya's National Provider Identifier (NPI) is 1821260019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sushma Boya's specialty?
- Sushma Boya is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sushma Boya located?
- Sushma Boya's practice location on file with NPPES is 5555 Grossmont Center Dr, La Mesa, CA 91942-3019.
- What is Sushma Boya's phone number?
- The practice phone number listed in the NPPES registry for Sushma Boya is (858) 999-4136.
- Does Sushma Boya accept Medicare?
- Sushma Boya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sushma Boya's NPI active?
- Yes — Sushma Boya's NPI (1821260019) is active in the NPPES registry as of the last update on 2016-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.