Sushil Ghimire, M.D.
NPI 1912314840 · Hematology & Oncology Physician · Camden, NJ
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sushil Ghimire, M.D. is a Hematology & Oncology Physician provider in Camden, NJ (NPI 1912314840).
Provider details
- NPI number
- 1912314840
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MT206484 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
557 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 234 | $100 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 109 | $101 |
| 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 | 51 | $17 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 47 | $82 |
| 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 | 31 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 36 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Acyclovir | 113 | 37 |
| Acalabrutinib Maleatebrand: Calquence | 94 | 12 |
| Lenalidomidebrand: Revlimid | 79 | 21 |
| Apixabanbrand: Eliquis | 78 | 18 |
| Ibrutinibbrand: Imbruvica | 73 | — |
| Dexamethasone | 55 | 22 |
| Pomalidomidebrand: Pomalyst | 52 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$17 across 1 record (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
Additional practice locations (1)
- 6th Avenue & Spruce StreetWest Reading, PA 19611Phone: (484) 628-8640Fax: (484) 628-9003
Registry dates
- Enumerated
- 2014-07-11
- Last updated
- 2021-08-18
- Certified
- 2021-08-18
Frequently asked questions
- What is Sushil Ghimire's NPI number?
- Sushil Ghimire's National Provider Identifier (NPI) is 1912314840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sushil Ghimire's specialty?
- Sushil Ghimire is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Sushil Ghimire located?
- Sushil Ghimire's practice location on file with NPPES is 2 Cooper Plz, Camden, NJ 08103-1461.
- What is Sushil Ghimire's phone number?
- The practice phone number listed in the NPPES registry for Sushil Ghimire is (855) 632-2667.
- Does Sushil Ghimire accept Medicare?
- Sushil Ghimire is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sushil Ghimire's NPI active?
- Yes — Sushil Ghimire's NPI (1912314840) is active in the NPPES registry as of the last update on 2021-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.