DR. AJAYPAUL SUKHI M.B.B.S.
NPI 1205241502
Internal Medicine - Interventional Cardiology in Omaha, NE
NPI Status: Active since June 25, 2014
Contact Information
4239 FARNAM ST STE 100
OMAHA, NE
ZIP 68131
Phone: (402) 552-2320
- Individual
- Male
- Internal Medicine
- Interventional Cardiology
- Accepts Insurance
- PECOS Enrolled
About AJAYPAUL SUKHI
This page provides the complete NPI Profile along with additional information for Ajaypaul Sukhi, an internist established in Omaha, Nebraska with a medical specialization in Internal Medicine, focusing in interventional cardiology . The healthcare provider is registered in the NPI registry with number 1205241502 assigned on June 2014. The practitioner's primary taxonomy code is 207RI0011X with license number 32426 (NE). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1205241502
- Provider Name
- DR. AJAYPAUL SUKHI M.B.B.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4239 FARNAM ST STE 100 OMAHA, NE 68131
- Location Phone
- (402) 552-2320
- Mailing Address
- 4239 FARNAM ST STE 100 OMAHA, NE 68131
- Mailing Phone
- (402) 552-2320
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-25-2014
- Last Update Date
- 10-15-2024
- Code Navigator
An internist like Ajaypaul Sukhi is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 120 E 2nd St Fl 2
Erie, PA 16507
(814) 456-8980
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Interventional Cardiology
- Taxonomy Code
- 207RI0011X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 32426
- License State
- NE
- Taxonomy Description
- An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Elevate by Medica Bronze $0 Copay PCP Visits - EPO
- Elevate by Medica Bronze Premier - EPO
- Elevate by Medica Expanded Bronze Standard - EPO
- Elevate by Medica Gold $0 Copay PCP Visits - EPO
- Elevate by Medica Gold Share - EPO
- Elevate by Medica Gold Standard - EPO
- Elevate by Medica Silver $0 Copay PCP Visits - EPO
- Elevate by Medica Silver Share - EPO
- Elevate by Medica Silver Standard - EPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ajaypaul Sukhi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 68131 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $121.35
- Minimum New Patient Price $52.69
- Maximum New Patient Price $160.21
- Average New Patient Copayment $30.33
- Minimum New Patient Copayment $13.17
- Maximum New Patient Copayment $40.05
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.55
- Minimum Established Patient Price $16.9
- Maximum Established Patient Price $131.25
- Average Established Patient Copayment $23.38
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $32.81
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 0 | 5 | 2 | 4 | 1 | 5 | 0 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 0 | 5 | 4 | 4 | 2 | 5 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 0 + 5 + 4 + 4 + 2 + 5 + 0 + 24 = 48 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
50 - 48 = 2 | 2 |
The NPI number 1205241502 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1861503427 | ANTONIO P REYES M.D. Individual | Internal Medicine (Cardiovascular Disease) | 4239 FARNAM ST STE 100 OMAHA, NE 68131 (402) 552-2320 |
1447468590 | MR. MATTHEW PAUL VAN TINE PA-C Individual | Physician Assistant | 4239 FARNAM ST STE 100 OMAHA, NE 68131 (402) 552-2320 |
1144577891 | KILEY J MEYER APRN Individual | Nurse Practitioner | 4239 FARNAM ST STE 100 OMAHA, NE 68131 (402) 552-2320 |
1184094179 | KYANA R HOLDER APRN Individual | Nurse Practitioner | 4239 FARNAM ST STE 100 OMAHA, NE 68131 (402) 552-2320 |
1518505205 | CALLISTA LEE KOMASINCKI Individual | Nurse Practitioner (Family) | 4239 FARNAM ST STE 100 OMAHA, NE 68131 (402) 552-2320 |
1528355138 | DR. JITENDRA B. PANDYA MBBS Individual | Internal Medicine (Interventional Cardiology) | 4239 FARNAM ST STE 100 OMAHA, NE 68131 (402) 552-2320 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205241502, enumerated in the NPI registry as an "individual" on June 25, 2014
The provider is located at 4239 Farnam St Ste 100 Omaha, Ne 68131 and the phone number is (402) 552-2320
The provider's speciality is Internal Medicine with taxonomy code 207RI0011X with a focus in Interventional Cardiology
The provider might be accepting Accepts: Medica and Wellmark Health Plan of Iowa, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $121.35 with an average copayment of $30.33 for new patient appointments. Established patients should expect a typical charge of $93.55 and an average copayment of 23.38. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 25, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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