DR. SUSHIL ADHIKARI (M.D.) – Hospitalist Physician, NPI 1295907301
Hospitalist Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,638 INTERNAL MEDICINE in MN
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Provider Addresses for DR. SUSHIL ADHIKARI (M.D.)
Ford Road, Burnett, Saint Louis County, Minnesota, 55779, United States
UNIT 514
ST LOUIS PARK, MN 554261099
Phone: (773) 629-2176
Type: Mailing
Essentia Health St Joseph's Medical Center, 523, North 3rd Street, Brainerd, Crow Wing County, Minnesota, 56401, United States
BRAINERD, MN 564013054
Phone: (218) 829-2861
Type: Location
9400 N Name Uno
Gilroy, CA 950203528
Phone: (408) 848-2000
Type: Location
2105 FOREST AVE
SAN JOSE, CA 951281425
Phone: (408) 947-2500
Type: Location
6480 GODANI ST
GILROY, CA 950202719
Phone: (773) 629-2176
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-06-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100827000056 | I | Internal Medicine | MN | TBD |
| I20210610002882 | I | Internal Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 418 | 182 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 128 | 121 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 73 | 25 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 64 | 62 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 51 | 41 | $0 |
Insurance plans in this area (ZIP 55426)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Clinical Psychologist | CA | |
| Internal Medicine | CA | |
| Internal Medicine, Gastroenterology | CA | |
| - | CA | |
| Internal Medicine, Critical Care (Intensivists), Pulmonary Disease | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine, Hospitalist | PA | |
| - | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA |
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