Sushma Prathipati, MBBS, MD - Medicare Family Practice in Schenectady, NY

Sushma Prathipati, MBBS, MD is a medicare enrolled "Family Medicine" physician in Schenectady, New York. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Ellis Hospital and her current practice location is 1201 Nott St Ste 204, Schenectady, New York. You can reach out to her office (for appointments etc.) via phone at (518) 243-3388.

Sushma Prathipati is licensed to practice in New York (license number 301404) 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 1598115446.

Contact Information

Sushma Prathipati, MBBS, MD
1201 Nott St Ste 204,
Schenectady, NY 12308-2589
(518) 243-3388
Not Available

Map and Direction




Physician's Profile

Full NameSushma Prathipati
GenderFemale
SpecialityFamily Practice
Experience18 Years
Location1201 Nott St Ste 204, Schenectady, New York
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:
  • Sushma Prathipati graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1598115446
  • Provider Enumeration Date: 06/21/2016
  • Last Update Date: 12/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0446683445
  • Enrollment ID: I20191205001025

Medical Identifiers

Medical identifiers for Sushma Prathipati such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598115446NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 301404 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ellis HospitalSchenectady, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ellis Hospital5890607410222

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. Sushma Prathipati allows following entities to bill medicare on her behalf.
Entity NameEllis Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487644993
PECOS PAC ID: 5890607410
Enrollment ID: O20031103000406

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. Sushma Prathipati 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
Sushma Prathipati, MBBS, MD
1201 Nott St Ste 204,
Schenectady, NY 12308-2589

Ph: (518) 243-3388
Sushma Prathipati, MBBS, MD
1201 Nott St Ste 204,
Schenectady, NY 12308-2589

Ph: (518) 243-3388

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.