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

Sushma Kosaraju, STUDENT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558892513

Sushma Kosaraju, STUDENT is a Psychiatry in Camp Hill, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Penn State Health Medical Group LLC, a 711-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and West Virginia.

Years since qualifying
14
Licensed in
PA, WV
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

503 N 21st St
Camp Hill, PA 17011-2204
Phone: (717) 763-2219
Fax: (717) 972-4844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD473714 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (WV)

Record details

NPI number1558892513
Entity typeIndividual (Type 1)
GenderFemale
Credentials STUDENT
Sole proprietorNo
NPI enumeratedMarch 22, 2017
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022
Mailing address503 N 21st St, Camp Hill, PA 17011-2204

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Penn State Health Medical Group Llc — 711 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Camp Hill