2026 NPPES data Pediatric Adolescent Medicine Physician NPI 1932204823 M.D.
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SUSHMA GANDHI, M.D.

Pediatric Adolescent Medicine Physician in CLIFTON, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
12
Medicare Part D claims · Pediatric Adolescent Medicine Physician avg: 249

What the federal data shows

SUSHMA GANDHI, M.D. filed 12 Medicare Part D claims in 2023 as a Pediatric Adolescent Medicine Physician in CLIFTON, New Jersey.

12
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

SUSHMA GANDHI, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

12 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

SUSHMA GANDHI, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about SUSHMA GANDHI, M.D.?

Quality data not reported

NPI registry status

Active

Issued 09/14/2006

NPI 1932204823

Primary specialty

Pediatric Adolescent Medicine Physician

Niche

2,592 US NPIs in this specialty

Medicare Part D claims

12 95% vs specialty avg

2023 prescription claims

Specialty avg: 249

Specialty distribution in New Jersey

How Pediatric Adolescent Medicine Physician compares to other specialties among New Jersey providers

New Jersey providers

Pediatric Adolescent Medicine Physician share within New Jersey

1. Pediatric Adolescent Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Adolescent Medicine Physician share within New Jersey

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Adolescent Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Adolescent Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Adolescent Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Adolescent Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SUSHMA GANDHI, M.D. appears in the CMS NPPES registry as a Pediatric Adolescent Medicine Physician provider holding M.D. credentials at 975 CLIFTON AVE, CLIFTON, NJ, 07013, with a listed phone of (973) 471-5908. NPI 1932204823 was issued on 09/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GANDHI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 12 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $143 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pediatric Adolescent Medicine Physician is a narrow specialty nationwide, with 2,592 enrolled providers across 52 states and an average of 249 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

975 CLIFTON AVE
CLIFTON, NJ 07013

Provider Details

NPI 1932204823
Specialty Pediatric Adolescent Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 09/14/2006

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

12
Total Claims
$143
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
28
Total Day Supply
801
Brand Drug Cost
$0
Generic Drug Cost
$143

Patient Demographics

Average Patient Age
83.0 years
Avg HCC Risk Score
0.44

Pediatric Adolescent Medicine Physician Overview

How SUSHMA GANDHI, M.D. fits within the Pediatric Adolescent Medicine Physician landscape nationally.

2,592
Pediatric Adolescent Medicine Physician Providers in US
52
States with Pediatric Adolescent Medicine Physician
249
Avg Claims per Provider

SUSHMA GANDHI, M.D.'s 12 claims are below the specialty average of 249.

Nearby Pediatric Adolescent Medicine Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as GANDHI.

Compare Pediatric Adolescent Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SUSHMA GANDHI, M.D.'s specialty?
SUSHMA GANDHI, M.D. specializes in Pediatric Adolescent Medicine Physician and practices in CLIFTON, New Jersey. Credentials: M.D..
How much does SUSHMA GANDHI, M.D. prescribe under Medicare Part D?
In 2023, SUSHMA GANDHI, M.D. wrote 12 Medicare Part D claims totaling $143 in drug costs for N/A beneficiaries.
Where is SUSHMA GANDHI, M.D. located?
SUSHMA GANDHI, M.D. is located at 975 CLIFTON AVE, CLIFTON, NJ, 07013. Phone: (973) 471-5908.
What is SUSHMA GANDHI, M.D.'s NPI number?
SUSHMA GANDHI, M.D.'s National Provider Identifier (NPI) is 1932204823, issued on 09/14/2006.
How many Pediatric Adolescent Medicine Physician providers are there in the US?
There are 2,592 Pediatric Adolescent Medicine Physician providers across 52 states in the US. The average Pediatric Adolescent Medicine Physician provider writes 249 Medicare Part D claims per year.
Does SUSHMA GANDHI, M.D. accept Medicare?
SUSHMA GANDHI, M.D. appears in CMS Medicare data with 12 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUSHMA GANDHI, M.D.'s credentials?
SUSHMA GANDHI, M.D.'s NPI is 1932204823 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology