Smarika Sapkota, MD - Medicare Rheumatology in Minneapolis, MN

Smarika Sapkota, MD is a medicare enrolled "Internal Medicine" physician in Minneapolis, Minnesota. She went to University Of Colorado School Of Medicine, Aurora and graduated in 2011 and has 14 years of diverse experience with area of expertise as Rheumatology. She is a member of the group practice National Jewish Health and her current practice location is 2450 Riverside Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (239) 227-6680.

Smarika Sapkota is licensed to practice in Pennsylvania (license number MT205885) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417362617.

Contact Information

Smarika Sapkota, MD
2450 Riverside Ave,
Minneapolis, MN 55454-1450
(239) 227-6680
Not Available

Map and Direction




Physician's Profile

Full NameSmarika Sapkota
GenderFemale
SpecialityRheumatology
Experience14 Years
Location2450 Riverside Ave, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Smarika Sapkota attended and graduated from University Of Colorado School Of Medicine, Aurora in 2011
  NPI Data:
  • NPI Number: 1417362617
  • Provider Enumeration Date: 06/25/2014
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911129242
  • Enrollment ID: I20231215003008

Medical Identifiers

Medical identifiers for Smarika Sapkota such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417362617NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MT205885 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
National Jewish HealthDenver, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
National Jewish Health4587577028227

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. Smarika Sapkota allows following entities to bill medicare on her behalf.
Entity NameNational Jewish Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326015777
PECOS PAC ID: 4587577028
Enrollment ID: O20031110000757

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. Smarika Sapkota 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
Smarika Sapkota, MD
2450 Riverside Ave,
Minneapolis, MN 55454-1450

Ph: (239) 227-6680
Smarika Sapkota, MD
2450 Riverside Ave,
Minneapolis, MN 55454-1450

Ph: (239) 227-6680

Reviews and Comments


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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.