Sushma Sahni, MD
NPI 1831199496 · Internal Medicine Physician · Spotswood, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sushma Sahni, MD is a Internal Medicine Physician provider in Spotswood, NJ (NPI 1831199496).
Provider details
- NPI number
- 1831199496
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25MA03871000 (NJ)
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
20 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
1,118 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 353 | $76 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 279 | $130 |
| Residence Visit for Established Patient With High Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99350 | 120 | $143 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 115 | $66 |
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 | 100 | $50 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 130 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 566 | 92 |
| Amlodipine Besylate | 363 | 68 |
| Metformin Hcl | 307 | 51 |
| Levothyroxine Sodium | 304 | 38 |
| Pantoprazole Sodium | 284 | 54 |
| Metoprolol Succinate | 228 | 42 |
| Gabapentin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$112 across 6 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
- 2005-07-26
- Last updated
- 2016-04-22
Frequently asked questions
- What is Sushma Sahni's NPI number?
- Sushma Sahni's National Provider Identifier (NPI) is 1831199496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sushma Sahni's specialty?
- Sushma Sahni is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sushma Sahni located?
- Sushma Sahni's practice location on file with NPPES is 498 Main St, Spotswood, NJ 08884-1702.
- What is Sushma Sahni's phone number?
- The practice phone number listed in the NPPES registry for Sushma Sahni is (732) 251-6900.
- Does Sushma Sahni accept Medicare?
- Sushma Sahni is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sushma Sahni's NPI active?
- Yes — Sushma Sahni's NPI (1831199496) is active in the NPPES registry as of the last update on 2016-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.