Sushma Kaul, MD
NPI 1952317091 · Pulmonary Disease Physician · Utica, NY
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sushma Kaul, MD is a Pulmonary Disease Physician provider in Utica, NY (NPI 1952317091).
Provider details
- NPI number
- 1952317091
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 189385 (NY)
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
19 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
1,229 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 328 | $213 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 217 | $79 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 127 | $119 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 118 | $98 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 112 | $66 |
| Test to Determine Lung Volumes Using Sensors94726 | 73 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 301 | 58 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 256 | 101 |
| Montelukast Sodium | 170 | 43 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 146 | 38 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 100 | 29 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 83 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,630 across 68 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
- 2006-07-31
- Last updated
- 2016-10-20
Frequently asked questions
- What is Sushma Kaul's NPI number?
- Sushma Kaul's National Provider Identifier (NPI) is 1952317091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sushma Kaul's specialty?
- Sushma Kaul is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Sushma Kaul located?
- Sushma Kaul's practice location on file with NPPES is 35 Riverside Dr, Utica, NY 13502-2320.
- What is Sushma Kaul's phone number?
- The practice phone number listed in the NPPES registry for Sushma Kaul is (315) 735-2294.
- Does Sushma Kaul accept Medicare?
- Sushma Kaul is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sushma Kaul's NPI active?
- Yes — Sushma Kaul's NPI (1952317091) is active in the NPPES registry as of the last update on 2016-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.