Individual provider Active NPI

Sutrah Joseph, PA-C

  • Medical Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1063397891
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9120062 Issued in FL
Practice address
3196 N Federal Hwy
Boca Raton, FL 33431-6700
Phone
(561) 849-3000
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9120062 FL
Medical Physician Assistant 363AM0700X 9120062 FL Primary

Addresses

Primary practice location

3196 N Federal Hwy
Boca Raton, FL 33431-6700

Mailing address

11253 Coral Reef Dr
Boca Raton, FL 33498-1966
Phone (954) 756-2617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202001190 FL Practitioner - Physician Assistant 4981182862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usai Med LLCGroup PAC ID 1456718675, 4 clinicians

Practice addresses (Care Compare)

3196 N Federal Hwy
Suite a
Boca Raton, FL 33431-6700
Phone (561) 849-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9120062FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Usai Med LLC CurrentSince Jan 22, 2026 Accepting new patients
Anti-Aging Alliance LLC PastSince Jan 22, 2026 Accepting new patients

Locations

3196 N Federal Hwy
Ste A
Boca Raton, FL 33431
Phone (561) 445-4489

3196 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 338-3999

Interoperability endpoints

  • Direct secure messaging: rofemedical.sutrahjoseph@155897.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1063397891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11253 CORAL REEF DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981966",
            "telephone_number": "954-756-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316700",
            "telephone_number": "561-849-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "SUTRAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "9120062",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9120062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.