Sushil Adhikari, M.D.
Hospitalist Physician · San Jose, CA
Sushil Adhikari, M.D. is a hospitalist physician with a practice address in San Jose, California, and NPI 1295907301, issued on Mar 28, 2008. Check the license (California C171400, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Sushil Adhikari
- Credential
- M.D.
- Primary taxonomy
- Hospitalist Physician 208M00000X
- License numbers
- C171400 CA
036124008 IL
125053284 IL
52732 MN
Self-reported in NPPES; status is on the state search - Practice location
- 2105 Forest Ave, San Jose, CA 95128
- Phone
- (408) 947-2500
- Enumerated
- Mar 28, 2008
- Record last updated
- Dec 27, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20210610002882); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest hospitalist physician records → All 3,099 in California → Look up another NPI →
Also registered at 2105 Forest Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ailya BatoolStudent in an Organized Health Care Education/Training Program1457702128
- Bryan Beall, DOEmergency Medicine Physician1861870875
- Gail Bellman, M.D.Radiation Oncology Physician1417070723
- Meenesh Bhimani, MDEmergency Medicine Physician1598712069
- Constance Bowie, MDRadiation Oncology Physician1699831420
- Jan Bravo, MDEmergency Medicine Physician1083651657
Verify Sushil Adhikari in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license C171400Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
56% fewer Medicare Part D claims than the average hospitalist physician in 2024
228 Medicare Part D claims for 104 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D.
Most prescribed
- Amoxicillin-Clavulanate Potass18 claims
- Prednisone12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 80.6 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- County OF Santa ClaraSan Jose, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sushil Adhikari among 3,099 hospitalist physician records in California
Sushil Adhikari, M.D. is one of 3,099 hospitalist physician records with a practice address in California. 90% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 34% of them.
- NPI issued2008 · 34% of these records are older, 61% newer
- In a Medicare fileYes · 90% of these records are
- In the CMS Doctors and Clinicians fileYes · 81% of these records are
- Graduated2003 · median 2010 among the 2,505 with a school on file
- Record last updated2021 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Hospitalist Physician providers in California
There are 3,099 hospitalist physician records in California.
All 3,099 in California → Every provider in San Jose → Hospitalist Physician nationwide →
The 8 hospitalist physician records with the nearest ZIP codes
- Randi Kestler, M.D.San Jose, CA 951281780909242
- Brandon Kobayashi, MDSan Jose, CA 951281679078257
- Neelima Komatineni, M.D.San Jose, CA 951281225064108
- Hong Diem Le, DOSan Jose, CA 951281225533839
- Sushma Pai, M.D.San Jose, CA 951281619188596
- Hoang Pham, MDSan Jose, CA 951281346551819
- Megan Stevens, MDSan Jose, CA 951281558821868
- James Guetzkow, M.D., C.D.E.San Jose, CA 951251801906995
Common questions
What is Sushil Adhikari, M.D.'s NPI number?
Sushil Adhikari, M.D.'s National Provider Identifier (NPI) is 1295907301, issued on Mar 28, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Sushil Adhikari, M.D. located?
The NPPES record lists a practice address at 2105 Forest Ave, San Jose, CA, 95128. Phone: (408) 947-2500. Providers update this record themselves, so call before visiting.
How can I verify Sushil Adhikari, M.D.'s license?
NPPES lists California license number C171400, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sushil Adhikari, M.D. prescribe under Medicare Part D?
In 2024, Sushil Adhikari, M.D. had 228 Medicare Part D claims for 104 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.
What is Sushil Adhikari, M.D.'s MIPS final score?
The 2023 MIPS final score is 80.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.