Quick answers
- Does Suman Thapaliya accept Medicare assignment?
- Yes. Medicare's clinician data says Suman Thapaliya accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Suman Thapaliya see?
- In 2024, CMS data shows 227 Original Medicare patients and 539 services for Suman Thapaliya. This counts Original Medicare only and measures volume, not quality.
- What is Suman Thapaliya's NPI number?
- 1225559297. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Suman Thapaliya, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 227 |
|---|---|
| Services billed to Medicare | 539 |
| Different services or procedures | 21 |
| Participating Medicare provider | Yes |
| Average age of these patients | 73 |
Most frequent services
- 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 (G2211)140 services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)113 services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)99 services
- Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)30 services
- Hospital discharge day management, more than 30 minutes (99239)30 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Arthritis54%
- Diabetes46%
- Chronic kidney disease43%
- Ischemic heart disease38%
Hospitals where Suman Thapaliya works
Medicare's Facility Affiliation Data lists Suman Thapaliya at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Geisinger Medical CenterDanville, PA · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 390006
- Geisinger-Bloomsburg HospitalBloomsburg, PA · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 390003
- Phoenixville HospitalPhoenixville, PA · Acute Care Hospital · Medicare rating: 3 of 5 stars · Emergency services: listed by Medicare · CCN 390127
- Pottstown HospitalPottstown, PA · Acute Care Hospital · Medicare rating: 2 of 5 stars · Emergency services: listed by Medicare · CCN 390123
Practice locations
Addresses where Suman Thapaliya is enrolled with Medicare (CMS data updated October 2, 2026).
- 100 N Academy AveDanville, PA 17822 (570) 271‑6211
- 140 Nutt RdPhoenixville, PA 19460 (610) 983‑1000
- 1600 E High StPottstown, PA 19464 (610) 327‑7000
- 255 Route 220 HwyMuncy, PA 17756 (570) 308‑2600
Group practices
Medicare enrollment lists Suman Thapaliya as a member of these groups (CMS data updated October 2, 2026).
- Geisinger Clinic3,467 clinicians in the group
- Geisinger-Hm Joint Venture LLC422 clinicians in the group
- Phoenixville Clinic Company LLC134 clinicians in the group
- Pottstown Clinic Company LLC111 clinicians in the group
Specialties
- Internal Medicineprimary
Other internal medicine doctors in Danville
Clinicians with the same Medicare primary specialty in Danville, PA — not a recommendation.
Other clinicians in Geisinger Clinic
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Graduation year | 2008 (18 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1225559297 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians