Dr. Sushil Adhikari, MD

Dr. Adhikari practices at Santa Clara Valley Medical Center in San Jose, California, part of County of Santa Clara, CA.

Dr. Adhikari's NPI, 1295907301, was assigned on March 28, 2008. Dr. Adhikari graduated from Nepal Medical College in 2002. Dr. Adhikari holds California license C171400.

Dr. Adhikari's primary practice is Santa Clara Valley Medical Center, at 751 South Bascom Avenue, San Jose, CA 95128 in Santa Clara County. The practice phone is (408) 885-5000.

Dr. Adhikari's primary practice is Santa Clara Valley Medical Center in San Jose, California, part of County of Santa Clara, CA. The medical group on file is The Permanente Medical Group, Inc. Dmand AI also links Dr. Adhikari to 2 more medical groups, 1 community health center and 1 skilled nursing facility, each named with a free account.

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Adhikari practices, 3 sites in all. Vendor and product names are available with a free account.

Hospitalist is Dr. Adhikari's primary specialty in the NPI Registry, under taxonomy code 208M00000X. Dr. Adhikari is board certified in internal medicine by the American Board of Internal Medicine. Dmand AI has Dr. Adhikari's licenses on file in 4 states: California, Minnesota, Washington and Illinois.

Dmand AI lists acute diabetes, anemia, cellulitis, chest trauma, cirrhosis, congestive heart failure, gastrointestinal inflammation and gastrointestinal obstruction among the conditions Dr. Adhikari treats.

CMS data shows 733 Medicare services from Dr. Adhikari across 6 procedure codes in 2024, for 281 Medicare patients. Medicare paid $61,792 for them. Every service was in a facility, such as a hospital, rather than an office.

CMS counts 281 Medicare patients who saw Dr. Adhikari in 2024. The largest group is 75 to 84, with 85 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 52% are also on Medicaid. Their average risk score is 2.57, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Adhikari's median patient age at 74, with 49% women.

In 2024, Dr. Adhikari wrote 228 Medicare Part D claims for 104 patients. 88% of them were for generic drugs. CMS names the drug for 30 of them, across 2 drugs with 11 or more claims each, at $98 in total drug cost. In 2023, CMS named 48 claims across 4 drugs.

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 61 out of 100 for Dr. Adhikari for performance year 2024, reported as part of a group. Dr. Adhikari accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Dmand AI links 1 paper to Dr. Adhikari in 2017.

Dr. Adhikari graduated from Nepal Medical College in 2002.

Dr. Adhikari is in network with 7 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.