Dr. Sushma Vineet Pai, MD

Dr. Pai practices at O'Connor Hospital in San Jose, California.

Dr. Pai's NPI, 1619188596, was assigned on May 24, 2007. Dr. Pai graduated from Topiwala National Medical College in 1999. Dr. Pai holds California license 104547.

Dr. Pai's primary practice is O'Connor Hospital, at 2105 Forest Avenue, San Jose, CA 95128 in Santa Clara County. The practice phone is (408) 947-2831.

Dr. Pai's primary practice is O'Connor Hospital in San Jose, California. Dr. Pai is also affiliated with Santa Clara Valley Medical Center. The medical group on file is County of Santa Clara Behavioral Health Services, Las Plumas Behavioral Health Clinic. Dmand AI also links Dr. Pai to 1 more hospital, 5 medical groups and 1 group practice or clinic, each named with a free account.

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Pai practices, 4 sites in all. Vendor and product names are available with a free account.

Hospitalist is Dr. Pai's primary specialty in the NPI Registry, under taxonomy code 208M00000X. Dr. Pai is board certified in internal medicine by the American Board of Internal Medicine. Dr. Pai is licensed in California.

Dmand AI lists acute diabetes, acute respiratory failure, chest pain, congestive heart failure, electrolyte disorders, gastrointestinal bleeding, gastrointestinal obstruction and kidney failure among the conditions Dr. Pai treats.

CMS data shows 656 Medicare services from Dr. Pai across 6 procedure codes in 2024, for 219 Medicare patients. Medicare paid $53,206 for them. Every service was in a facility, such as a hospital, rather than an office.

CMS counts 219 Medicare patients who saw Dr. Pai in 2024. The largest group is 65 to 74, with 70 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 76% are also on Medicaid. Their average risk score is 3.63, 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. Pai's median patient age at 73, with 49% women.

In 2024, Dr. Pai wrote 218 Medicare Part D claims for 84 patients. 88% of them were for generic drugs. CMS names the drug for 29 of them, across 2 drugs with 11 or more claims each, at $1,872 in total drug cost. In 2023, CMS named 13 claims across 1 drug.

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

Dmand AI links 3 papers to Dr. Pai, published from 2008 to 2023. Dr. Pai's most frequent co-authors are Joseph David Cooper, MD, Joseph David Cooper, MD and Kristin Beth Walsh, MD.

CMS Open Payments shows 1 general payment to Dr. Pai from 1 drug or device company in 2025. Food and beverage make up the largest share, 100% of the total. Abbott Laboratories paid the most, $85.

Dr. Pai graduated from Topiwala National Medical College in 1999.

Dr. Pai is in network with 3 carriers, including Blue Cross Blue Shield of Massachusetts, HCSC and CMS Medicare. Medicare plans come from the most carriers, 3. Check the plan with the practice before a visit.