Mr Sushil Kumar Ojha, MD - Medicare Gastroenterology in Downey, CA

Mr Sushil Kumar Ojha, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Downey, California. He graduated from medical school in 1975 and has 49 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Gastro-digestive Medical Group and his current practice location is 11480 Brookshire Avenue, Suite 308, Downey, California. You can reach out to his office (for appointments etc.) via phone at (562) 862-3656.

Mr Sushil Kumar Ojha is licensed to practice in California (license number A45982) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1053377093.

Contact Information

Mr Sushil Kumar Ojha, MD
11480 Brookshire Avenue, Suite 308,
Downey, CA 90241-5020
(562) 862-3656
(562) 862-2948

Map and Direction




Physician's Profile

Full NameMr Sushil Kumar Ojha
GenderMale
SpecialityGastroenterology
Experience49 Years
Location11480 Brookshire Avenue, Downey, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Sushil Kumar Ojha graduated from medical school in 1975
  NPI Data:
  • NPI Number: 1053377093
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 12/07/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1850383936
  • Enrollment ID: I20040330001867

Medical Identifiers

Medical identifiers for Mr Sushil Kumar Ojha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053377093NPI-NPPES
00A459820MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology A45982 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lakewood Regional Medical CenterLakewood, CAHospital
Pih Hospital - DowneyDowney, CAHospital
Saint Francis Medical CenterLynwood, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gastro-digestive Medical Group83250304063

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Sushil Kumar Ojha allows following entities to bill medicare on his behalf.
Entity NameGastro-digestive Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255423976
PECOS PAC ID: 8325030406
Enrollment ID: O20040330001832

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Sushil Kumar Ojha is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Sushil Kumar Ojha, MD
11480 Brookshire Avenue, Suite 308,
Downey, CA 90241-5020

Ph: (562) 862-3656
Mr Sushil Kumar Ojha, MD
11480 Brookshire Avenue, Suite 308,
Downey, CA 90241-5020

Ph: (562) 862-3656

Reviews and Comments


Internal Medicine Doctors in Downey, CA

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Bhavik V Thakkar, MD
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Practice Location: 11525 Brookshire Ave, Suite 400, Downey, CA 90241
Phone: 562-869-4497    Fax: 562-869-6317

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.