Sushil Ghimire, M.D.
NPI 1912314840ActiveIndividual· Internal Medicine, Hematology & Oncology· Camden, NJ
Internal Medicine, Hematology & Oncology (M.D.) with Cmc Department of Medicine Group PA, practicing in Camden, New Jersey. Their prescriptions cost Medicare Part D more than their services did: $7,222,271 for 1,218 claims, against $40,882 paid for services in 2024. Alnylam Pharmaceuticals Inc. reported $17.31 in payments in 2024, mostly food and beverage. Lists Cape Regional Medical Center Inc and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1912314840 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 11, 2014 |
| Last updated in NPPES | Aug 18, 2021 |
| Certified by provider | Aug 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Hematology & Oncology Primary | 207RH0003X | 25MA11121700 | NJ |
| Internal Medicine | 207R00000X | MT206484 | PA |
| Internal Medicine | 207R00000X | MD461645 | PA |
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 - Hematology (NJ); Practitioner - Hospitalist (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 246 |
|---|---|
| Services billed | 604 across 15 procedure codes |
| Paid by Medicare | $40,882 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,218 · 1,473 30-day fills |
|---|---|
| Patients | 154 |
| Total drug cost | $7,222,271 |
| Generic share | 56% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Hematology |
| Secondary specialties | Internal Medicine, Medical Oncology |
| Telehealth | Offers telehealth |
Medical group
- Cmc Department of Medicine Group PACamden, NJ · 478 clinicians
Hospital affiliations
- Cape Regional Medical Center IncCape May Court House, NJ
- Cooper University HospitalCamden, NJ
- Virtua Mount Holly HospitalMount Holly, NJ
Industry payments (Open Payments)
- 2024$17.31 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Alnylam Pharmaceuticals Inc. | $17.31 | 1 |
What the 2024 payments were for
- Food and Beverage$17.31 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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