Individual provider

Sushma Patel, MD

Radiation Oncology Physician Medicare enrolled

Sushma Patel, MD is a Radiation Oncology Physician in Pinehurst, NC, registered under NPI 1023017191.

Getting there

The practice address on file is 155 MEMORIAL DRIVE, Pinehurst, NC 28374. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

155 MEMORIAL DRIVE, Pinehurst, NC 28374 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
98-01004 NC Radiation Oncology Physician primary

This provider holds licence 98-01004 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Radiation Oncology
PAC ID
8628113669

Medicare enrolment is recorded as approved under the provider type Practitioner - Radiation Oncology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Radiation Oncology covers

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. NUCC Health Care Provider Taxonomy, code 2085R0001X
Allopathic & Osteopathic Physicians Radiology Radiation Oncology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1023017191 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 20, 2005
Last updatedMar 4, 2016
StatusActive
Sole proprietorNo
CredentialMD
Practice address 155 MEMORIAL DRIVE
Pinehurst, NC 28374
(910) 715-1056
Fax (910) 715-1060
Mailing address PO BOX 90
Southern Pines, NC 28388
Other identifiers 8910801 (NC)
This record was last updated on Mar 4, 2016, roughly 10 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1023017191 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 2 3 0 1 7 1 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 4 3 0 1 5 1 9

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1023017191?
NPI 1023017191 is the National Provider Identifier assigned to Sushma Patel, MD in Pinehurst, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Radiation Oncology cover?
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
How do I contact Sushma Patel, MD?
The phone number on file with NPPES is (910) 715-1056, last updated Mar 4, 2016. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Sushma Patel, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1023017191 a valid number?
Yes. 1023017191 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.