Sushil Adhikari, M.D.
NPI 1295907301ActiveIndividual· Hospitalist· San Jose, CA
Hospitalist (M.D.) with County of Santa Clara, practicing in San Jose, California. In 2024 Medicare paid $62,281 for 281 patients, and Part D covered 228 of their prescriptions, 88% of them generic. Lists Santa Clara Valley Medical Center as a hospital affiliation.
Overview
| NPI | 1295907301 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 28, 2008 |
| Last updated in NPPES | Dec 27, 2021 |
| Certified by provider | Jul 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | C171400 | CA |
| Internal Medicine | 207R00000X | 52732 | MN |
| Internal Medicine | 207R00000X | 125053284 | IL |
| Internal Medicine | 207R00000X | 036124008 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 281 |
|---|---|
| Services billed | 738 across 10 procedure codes |
| Paid by Medicare | $62,281 |
Part D prescriptions in 2024
| Prescriptions (claims) | 228 · 251 30-day fills |
|---|---|
| Patients | 104 |
| Total drug cost | $13,073 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Hospitalist |
Medical group
- County of Santa ClaraSan Jose, CA · 1,022 clinicians
Hospital affiliation
- Santa Clara Valley Medical CenterSan Jose, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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