Sumathi Kemisetti, M.D.
NPI 1184668428ActiveIndividual· Internal Medicine· Albertson, NY
Internal Medicine (M.D.) with North Shore-Lij Medical PC, practicing in Albertson, New York. In 2024 Medicare paid $201,391 for 408 patients, and Part D covered 2,772 of their prescriptions, 81% of them generic. Aurinia Pharma U.S., Inc. was the largest of 2 companies reporting payments in 2025, $247.19 in all, mostly food and beverage. Lists Long Island Jewish Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1184668428 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 16, 2006 |
| Last updated in NPPES | Dec 11, 2019 |
| Certified by provider | Dec 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 234003 | NY |
| Internal Medicine | 207R00000X | 25MA07848100 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 408 |
|---|---|
| Services billed | 2,269 across 9 procedure codes |
| Paid by Medicare | $201,391 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,772 · 2,813 30-day fills |
|---|---|
| Patients | 88 |
| Total drug cost | $172,111 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- North Shore-Lij Medical PCStaten Island, NY · 6,440 clinicians
Hospital affiliations
- Long Island Jewish Medical CenterNew Hyde Park, NY
- North Shore University HospitalManhasset, NY
- Plainview HospitalPlainview, NY
Other facilities
- Hospice of New York, LLCHospice · Long Island City, NY
- Hillside Manor Rehab & Extended Care CenterNursing home · Jamaica Estates, NY
Industry payments (Open Payments)
- 2025$247.19 · 2 payments from 2 companies
- 2024$368.70 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Aurinia Pharma U.S., Inc. | $125.00 | 1 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $122.19 | 1 |
What the 2025 payments were for
- Food and Beverage$247.19 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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