Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sushanth Nayak, MD

Individual provider Family Medicine Physician · NPI 1710273958

Dr. Sushanth Nayak, MD is a Family Practice in Philadelphia, Pennsylvania. Qualified in 2008, 18 years ago. Practices with Peacehealth Medical Group Cottage Grove, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania and Washington.

Years since qualifying
18
Licensed in
PA, WA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11000 Roosevelt Blvd Unit 360
Philadelphia, PA 19116-3961
Phone: (215) 677-1475
Fax: (215) 677-3082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4800 College St Se, Lacey, WA 98503-4389 — (360) 486-2900
  • 1620 Cooper Point Rd Sw, Olympia, WA 98502-5736 — (360) 486-6710

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD473059 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD60662834 (WA)

Record details

NPI number1710273958
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2011
Last updated in NPPESJune 18, 2021
Certification dateJune 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Peacehealth Medical Group Cottage Grove — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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