Sushma Kaul, MD
Pulmonary Disease Physician · Utica, NY
Sushma Kaul, MD is a pulmonary disease physician with a practice address in Utica, New York, and NPI 1952317091, issued on Jul 31, 2006. Check the license (New York 189385, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Sushma Kaul
- Credential
- MD
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 189385 NY
Self-reported in NPPES; status is on the state search - Practice location
- 35 Riverside Dr, Utica, NY 13502
- Phone
- (315) 735-2294
- Enumerated
- Jul 31, 2006
- Record last updated
- Oct 20, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (315) 735-2021
- Medicaid ID
- 01853121 NY
- Medicare enrollment
- Enrolled (PECOS I20080215000417); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 1,230 in New York → Look up another NPI →
Also registered at 35 Riverside Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Hussein Assallum, MDPulmonary Disease Physician1073883104
- Aleksey Bogolyubov, MDPulmonary Disease Physician1245339001
- Elizabeth Cooley, MDFamily Medicine Physician1871748020
- Thomas Gwilt, NURSE PRACTITIONERFamily Nurse Practitioner1528433158
- Nalini Namassivaya, MDPulmonary Disease Physician1003892134
- Renee Scaramuzzino, FNPFamily Nurse Practitioner1346812401
Verify Sushma Kaul in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 189385Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
28% more Medicare Part D claims than the average pulmonary disease physician in 2024
1,827 Medicare Part D claims for 280 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 63% of claims.
Most prescribed
- Trelegy Ellipta301 claims
- Albuterol Sulfate Hfa256 claims
- Montelukast Sodium170 claims
- Breo Ellipta146 claims
- Breztri Aerosphere100 claims
- Anoro Ellipta83 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): 78.7 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).
Industry payments in 2024: $1,629.89
68 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Mvhs IncUtica, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sushma Kaul among 1,230 pulmonary disease physician records in New York
Sushma Kaul, MD is one of 1,230 pulmonary disease physician records with a practice address in New York. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 11% of them.
- NPI issued2006 · 11% of these records are older, 47% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated1986 · median 1999 among the 943 with a school on file
- Record last updated2016 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in New York
There are 1,230 pulmonary disease physician records in New York.
All 1,230 in New York → Every provider in Utica → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Hussein Assallum, MDUtica, NY 135021073883104
- Aleksey Bogolyubov, MDUtica, NY 135021245339001
- Nalini Namassivaya, MDUtica, NY 135021003892134
- Anwar Wassel, MDUtica, NY 135021376707521
- Eric Yoss, MDUtica, NY 135021679563795
- Steven Levine, D.O.Utica, NY 135011366432064
- Mohammed Seedat, M.D.Rome, NY 134401679683031
- Ghassan Koussa, M.D.Oneida, NY 134211730341421
Common questions
What is Sushma Kaul, MD's NPI number?
Sushma Kaul, MD's National Provider Identifier (NPI) is 1952317091, issued on Jul 31, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Sushma Kaul, MD located?
The NPPES record lists a practice address at 35 Riverside Dr, Utica, NY, 13502. Phone: (315) 735-2294. Providers update this record themselves, so call before visiting.
How can I verify Sushma Kaul, MD's license?
NPPES lists New York license number 189385, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sushma Kaul, MD prescribe under Medicare Part D?
In 2024, Sushma Kaul, MD had 1,827 Medicare Part D claims for 280 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Sushma Kaul, MD's MIPS final score?
The 2023 MIPS final score is 78.7 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.