Doctor profile · Federal record
Dr. Sushil Adhikari, M.D.
Hospitalist Physician (CMS: Internal Medicine) · Internal Medicine Physician · Internal Medicine Physician · Internal Medicine Physician · San Jose, CA
- NPI 1295907301
- Accepts Medicare
- MIPS 74.2 / 100 · 2023
- 23 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2105 Forest Ave
San Jose, CA 951281425
(408) 947-2500 - Additional location
-
9400 N Name Uno
Gilroy, CA 950203528
(408) 848-2000 - Mailing address
-
6480 Godani St
Gilroy, CA 950202719
Credentials & registration
- NPI registered
- March 2008 — 18 yrs on file
- Profile last updated
- December 27, 2021
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 208M00000X — NUCC code
- State licenses (4)
- California #C171400 · Minnesota #52732 · Illinois #125053284 · Illinois #036124008
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295907301. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
776
Distinct HCPCS
6
Medicare allowed
$83,803
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 418 | 182 | $89 | |
99239 |
Hospital discharge day management, more than 30 minutes | 128 | 121 | $131 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 73 | 25 | $55 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 64 | 62 | $196 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 51 | 41 | $134 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 42 | 42 | $147 |
In context: peer comparison
Among 12 peers in this city , average services per provider: 145. This provider delivers 5.4× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
48
Patients
37
Total drug cost
$295
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 14 | 14 | $127 |
| Prednisone | Generic | 12 | 12 | $42 |
| Atorvastatin Calcium | Generic | 11 | 0 | $77 |
| Furosemide | Generic | 11 | 11 | $48 |
Frequently asked questions
What is Dr. Sushil Adhikari's medical specialty?
Dr. Sushil Adhikari practices Hospitalist Physician in San Jose, CA.
Where does Dr. Sushil Adhikari practice?
Dr. Sushil Adhikari practices at 2105 Forest Ave, San Jose, CA 951281425. Office phone: 4089472500.
What is Dr. Sushil Adhikari's NPI?
Dr. Sushil Adhikari's National Provider Identifier (NPI) is 1295907301, issued by NPPES.
Does Dr. Sushil Adhikari accept Medicare assignment?
Yes. Dr. Sushil Adhikari accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sushil Adhikari commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Hospital discharge day management (HCPCS 99239); Subsequent hospital care with straightforward or low level of medical decision making (HCPCS 99231). Source: CMS Medicare Physician & Other Practitioners file.