Dr. Suman Thapaliya, MD
- Medicare services, 2024
- 486
- Medicare patients, 2024
- 227
- Part D claims, 2024
- 2,212
- Publications
- 1
- Hospital affiliations
- 4
- Practice address
- 1600 East High Street, Pottstown, PA 19464
- Practice phone
- Call (610) 327-7000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. Thapaliya's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Suman Thapaliya is an internist in Pottstown, Pennsylvania
Dr. Thapaliya practices at Pottstown Hospital in Pottstown, Pennsylvania, part of Tower Health.
Dr. Thapaliya's NPI, 1225559297, was assigned on June 29, 2017. Dr. Thapaliya holds Pennsylvania license MD471850.
- NPI
- 1225559297NPI Registry (opens in a new tab)
- Medicare PAC ID
- 0941544506
- NPI enumeration date
- June 29, 2017
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (610) 327-7000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 44
- Medical school graduation
- 2008
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Suman Thapaliya practices at Pottstown Hospital in Pottstown, Pennsylvania
Dr. Thapaliya's primary practice is Pottstown Hospital, at 1600 East High Street, Pottstown, PA 19464 in Montgomery County. The practice phone is (610) 327-7000.
- Pottstown Hospital1600 East High Street, Pottstown, PA 19464 · Montgomery CountyPhone(610) 327-7000
Source: Dmand AI Affiliation Data
Dr. Suman Thapaliya is affiliated with 4 sites of care and 5 medical groups
Dr. Thapaliya's primary practice is Pottstown Hospital in Pottstown, Pennsylvania, part of Tower Health. Dr. Thapaliya is also affiliated with Geisinger Medical Center. The medical group on file is Tower Health Medical Group. Dmand AI also links Dr. Thapaliya to 2 more hospitals and 4 medical groups, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Suman Thapaliya's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Thapaliya practices, 4 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Pottstown Hospital | Available with a free account |
| +3 more sites and 4 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across Tower Health and 6.2K+ hospitals, with verified contacts in the same login.
Dr. Suman Thapaliya is one of 5,665 internists in Pennsylvania
Internal medicine is Dr. Thapaliya's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Thapaliya is licensed in Pennsylvania.
Specialties and state licenses
- Internal medicine, PennsylvaniaPrimary
Internists near Dr. Thapaliya
Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Suman Thapaliya billed Medicare for 486 services in 2024
CMS data shows 486 Medicare services from Dr. Thapaliya across 8 procedure codes in 2024, for 227 Medicare patients. Medicare paid $27,528 for them. Every service was in a facility, such as a hospital, rather than an office.
Dr. Thapaliya's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 4462024: 34622%
- Other services
- 2023: 02024: 140
Dr. Thapaliya compared with the Pennsylvania median for internists, 2024
- Dr. Thapaliya
- Pennsylvania median
- Medicare services
- 486vs 41717% above
- Medicare patients
- 227vs 18523% above
- Part D claims
- 1,672vs 2247.5 times
Medians across 5,518 internists in Pennsylvania with Dmand AI profiles that report each measure.
Dr. Thapaliya's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Thapaliya?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Thapaliya and other internists in Pennsylvania.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Suman Thapaliya treated 227 Medicare patients in 2024, average age 73
CMS counts 227 Medicare patients who saw Dr. Thapaliya in 2024. The largest group is 65 to 74, with 93 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 27% are also on Medicaid. Their average risk score is 2.30, 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. Thapaliya's median patient age at 68, with 52% women.
Dr. Thapaliya's Medicare patients by age, 2024
Dr. Thapaliya's Medicare patients by sex, 2024
- Women10647%
- Men12153%
Chronic conditions among Dr. Thapaliya's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis54%
- Diabetes46%
- Chronic kidney disease43%
- Mood disorders41%
- Anxiety38%
- Heart failure38%
Share of Medicare patients with each condition. A patient can have several.
Dr. Thapaliya's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 68
Patient panel by sex, all payers
- Women52%
- Men48%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Suman Thapaliya wrote 2,212 Medicare Part D claims in 2024
In 2024, Dr. Thapaliya wrote 2,212 Medicare Part D claims for 292 patients. 88% of them were for generic drugs. CMS names the drug for 1,672 of them, across 55 drugs with 11 or more claims each, at $156,367 in total drug cost. In 2023, CMS named 1,836 claims across 60 drugs.
Dr. Thapaliya's Part D claims by kind of drug, 2024
- Generic1,939 claims88%
- Brand-name241 claims11%
- Other32 claims1%
Dr. Thapaliya's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Thapaliya's Part D claims, 2024
- Opioids3%59 of 2,212 claims
- Antibiotics2%54 of 2,212 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1,8362024: 1,6729%
Drugs named by CMS: 55 in 2024, 60 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
How Dr. Suman Thapaliya takes part in Medicare
Dr. Thapaliya accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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Dr. Suman Thapaliya has 1 publication on record
Dmand AI links 1 paper to Dr. Thapaliya in 2021. Dr. Thapaliya's most frequent co-author is Richard E. Sutton, MD.
Dr. Thapaliya's most frequent co-authors
Recent publications by Dr. Thapaliya
See who Dr. Thapaliya researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Thapaliya works with, so you can find a warm path to the right internists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Suman Thapaliya received $22 in industry payments in 2020
CMS Open Payments shows 1 general payment to Dr. Thapaliya from 1 drug or device company in 2020. Food and beverage make up the largest share, 100% of the total. Insmed, Inc. paid the most, $22.
Companies that paid Dr. Thapaliya the most, 2020 to 2020
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Dr. Suman Thapaliya's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Suman Thapaliya
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Suman Thapaliya's NPI number?
Dr. Suman Thapaliya's NPI number is 1225559297. It was assigned on June 29, 2017, and it is active in the NPI Registry.
What kind of doctor is Dr. Suman Thapaliya?
Dr. Suman Thapaliya is an internist in Pottstown, Pennsylvania. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).
Where does Dr. Suman Thapaliya practice?
Dr. Thapaliya practices at 1600 East High Street, Pottstown, PA 19464. Dr. Thapaliya's primary practice is Pottstown Hospital in Pottstown, Pennsylvania, part of Tower Health. Dmand AI also links Dr. Thapaliya to 2 hospitals and 4 medical groups.
What is Dr. Suman Thapaliya's office phone number?
The practice phone on file for Dr. Thapaliya is (610) 327-7000.
What is Dr. Suman Thapaliya's medical license number?
Dr. Thapaliya holds Pennsylvania license MD471850.
Which hospitals is Dr. Suman Thapaliya affiliated with?
Dr. Thapaliya practices at Pottstown Hospital in Pottstown, Pennsylvania. Dr. Thapaliya is also affiliated with Geisinger Medical Center. Dmand AI links Dr. Thapaliya to 2 more hospitals.
What medical group is Dr. Suman Thapaliya part of?
Dr. Thapaliya is linked to Tower Health Medical Group. Dmand AI links Dr. Thapaliya to 4 more medical groups.
Does Dr. Suman Thapaliya accept Medicare?
Yes. CMS data shows Dr. Thapaliya billed Medicare for 486 services in 2024, and Dr. Thapaliya accepts Medicare assignment.
How many Medicare patients does Dr. Suman Thapaliya see?
CMS counts 227 Medicare patients who saw Dr. Thapaliya in 2024, with an average age of 73.
What services does Dr. Suman Thapaliya bill to Medicare?
In 2024, Dr. Thapaliya's most billed Medicare services were medicare service (G2211), office visit, established patient (99214) and hospital inpatient care (99233).
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What drugs does Dr. Suman Thapaliya prescribe most?
In 2024 Medicare Part D data, Dr. Thapaliya's most prescribed drugs by claims were Atorvastatin Calcium, Lisinopril and Omeprazole.
Has Dr. Suman Thapaliya received payments from drug or device companies?
CMS Open Payments shows $22 in general payments to Dr. Thapaliya from 1 company from 2020 to 2020. The largest total came from Insmed, Inc.
How long has Dr. Suman Thapaliya been practicing?
Dr. Thapaliya graduated from medical school in 2008, 18 years ago.
Does Dr. Suman Thapaliya do research?
Dmand AI links 1 publication to Dr. Thapaliya.
Who does Dr. Suman Thapaliya publish with?
Dr. Thapaliya's most frequent co-authors are Richard E. Sutton, MD (1 shared paper).
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