Sushma Vineet Pai, M.D.
NPI 1619188596ActiveIndividual· Hospitalist· San Jose, CA
Hospitalist (M.D.) with County of Santa Clara, practicing in San Jose, California. In 2024 Medicare paid $53,431 for 219 patients, and Part D covered 218 of their prescriptions, 88% of them generic. Abbott Laboratories reported $85.24 in payments in 2025, mostly food and beverage. Lists Santa Clara Valley Medical Center as a hospital affiliation.
Overview
| NPI | 1619188596 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | May 24, 2007 |
| Last updated in NPPES | Mar 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | 104547 | CA |
| Internal Medicine | 207R00000X | 104547 | CA |
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 - Hospitalist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 219 |
|---|---|
| Services billed | 658 across 8 procedure codes |
| Paid by Medicare | $53,431 |
Part D prescriptions in 2024
| Prescriptions (claims) | 218 · 227 30-day fills |
|---|---|
| Patients | 84 |
| Total drug cost | $11,918 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Hospitalist |
| Secondary specialties | Internal Medicine |
Medical group
- County of Santa ClaraSan Jose, CA · 1,022 clinicians
Hospital affiliation
- Santa Clara Valley Medical CenterSan Jose, CA
Industry payments (Open Payments)
- 2025$85.24 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $85.24 | 1 |
What the 2025 payments were for
- Food and Beverage$85.24 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other hospitalists in San Jose
- 1023248762
- 1073924346
- 1174918239
- 1730265257
- 1801906995
- 1972739571
- 1982919379
- 1679078257
- 1164736708
- 1225064108
- 1225558349
- 1245316769
All 54 hospitalists in San Jose · All hospitalists in California