Active NPI 1932683091 Individual Practitioner Female Practitioner

Susmitha Joshi , NP

Nurse Practitioner • Durham, NC

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Susmitha Joshi, NP is a certified Nurse Practitioner practicing in Durham, NC. With approximately 9 years of clinical experience since completing medical education in 2017, Susmitha Joshi delivers high-quality medical care to the local community at 3643 N ROXBORO ST FL 6.

Susmitha Joshi is affiliated with Duke Health Integrated Practice Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3643 N Roxboro St Fl 6

Durham, NC 277042702

Telephone 9194709159

Associated Practice Facility / Clinic

🏢 Hni Medical Services Of North Carolina, Pc Facility NPI 1992464002

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Durham, NC

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -3.5 yrs vs City Avg

City Avg: 12.5 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

280 Specialists

Practicing in Durham, NC (4565 Statewide)

Telehealth Adoption Rate

23.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Joshi (9 Years) 9 Yrs

Durham Specialty Average (12.5 Years) 12.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	358	150	$255.00	$74.52
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	303	140	$61.00	$13.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$255.00	$73.34
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	15	14	$61.00	$13.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	414	238	$255.00	$77.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	91	$255.00	$76.64
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$172.00	$51.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	329	185	$283.39	$94.98
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	68	40	$491.18	$196.96
99213 Established patient office or other outpatient visit, typically 15 minutes	33	25	$213.27	$67.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	433	169	$174.00	$107.13
99213 Established patient office or other outpatient visit, typically 15 minutes	274	102	$174.00	$75.39
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	164	90	$400.00	$198.74
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	45	37	$645.00	$246.92
80307 Testing for presence of drug, by chemistry analyzers	13	13	$200.00	$62.14
80305 Testing for presence of drug, read by direct observation	11	11	$60.00	$12.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	355	177	$174.00	$61.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	196	156	$100.00	$37.19
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	192	130	$400.00	$198.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	43	$174.00	$89.94
80305 Testing for presence of drug, read by direct observation	40	39	$60.00	$12.60
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	14	14	$645.00	$246.92

Medical Specialties & State Licenses

CMS Verified: 2022-08-29

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NC 5011008

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License NC 5011008

Definition to come...

Hospital & Practice Group Affiliations

Duke Health Integrated Practice Inc

40 Duke Medicine Cir, Durham, NC 277104000

Phone: 9196848111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Uma Devi Gaddam , PA

Physician Assistant - Medical

NPI 1407184765

Physician Assistant

Jemya Mcclendon

Nurse's Aide

NPI 1528874971

Mary Talley , PA-C

Physician Assistant

NPI 1700045911

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address August 29, 2022

Registered at PO BOX 110566, DURHAM, NC 277095566 (Tel: 9196204855)

✅

NPI Profile Active September 24, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location September 24, 2018

Registered at 3643 N ROXBORO ST FL 6, DURHAM, NC 277042702 (Tel: 9194709159)

📍

Updated Business Mailing Address September 24, 2018

Registered at 6228 KIT CREEK RD, MORRISVILLE, NC 275609351 (Tel: 9199853520)

👤

Provider Name / Credentials Updated September 24, 2018

Recorded as SUSMITHA JOSHI, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2018

Nurse Practitioner (License #5011008 in NC)

🟢

Initial NPI Registration & Enumeration September 24, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932683091

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 24, 2018

Last Update: August 29, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 110566

Durham, NC 277095566

Phone: 9196204855

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.