Doctor profile · Federal record
Dr. Sushma Pai, M.D.
Hospitalist Physician (CMS: Hospitalist) · Internal Medicine Physician · San Jose, CA
- NPI 1619188596
- Accepts Medicare
- MIPS 74.2 / 100 · 2023
- 25 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
751 S Bascom Ave
San Jose, CA 951282604
(408) 799-2536 - Additional location
-
225 N Jackson Ave
San Jose, CA 951161603
(408) 729-2819
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- March 17, 2018
- Year of graduation
- 2001 — 25 yrs since
- Specialty taxonomy
- 208M00000X — NUCC code
- State license (1)
- California #104547
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619188596. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
730
Distinct HCPCS
5
Medicare allowed
$82,609
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 436 | 210 | $91 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 127 | 87 | $136 | |
99239 |
Hospital discharge day management, more than 30 minutes | 94 | 94 | $133 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 47 | 47 | $198 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 26 | 25 | $149 |
In context: peer comparison
Among 12 peers in this city , average services per provider: 145. This provider delivers 5.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
11
Total drug cost
$40
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Furosemide | Generic | 13 | 11 | $40 |
Frequently asked questions
What is Dr. Sushma Pai's medical specialty?
Dr. Sushma Pai practices Hospitalist Physician in San Jose, CA.
Where does Dr. Sushma Pai practice?
Dr. Sushma Pai practices at 751 S Bascom Ave, San Jose, CA 951282604. Office phone: 4087992536.
What is Dr. Sushma Pai's NPI?
Dr. Sushma Pai's National Provider Identifier (NPI) is 1619188596, issued by NPPES.
Does Dr. Sushma Pai accept Medicare assignment?
Yes. Dr. Sushma Pai accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sushma Pai commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Hospital discharge day management (HCPCS 99239). Source: CMS Medicare Physician & Other Practitioners file.