NPIMap

Individual provider Active NPI

Susanna O'Kula, MD

  • Epilepsy Physician
  • Brooklyn, NY
National Provider Identifier
1104211432
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
License
297906 Issued in NY
Practice address
450 Clarkson Ave # Msc1213
Brooklyn, NY 11203-2012
Phone
(718) 270-2959
Fax
(718) 270-4711
NPI assigned
Apr 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 297906 NY
Epilepsy Physician 2084E0001X 297906 NY Primary

Addresses

Primary practice location

450 Clarkson Ave # Msc1213
Brooklyn, NY 11203-2012

Mailing address

450 Clarkson Ave # Msc1213
Brooklyn, NY 11203-2012
Phone (718) 270-2959

Other identifiers 1

IdentifierTypeStateIssuer
06784050MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210917000970 NY Practitioner - Neurology 4486051489 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Icahn School of Medicine at Mount Sinai, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physicians of Brooklyn, Inc.Group PAC ID 0749192284, 174 clinicians
MMC Division of Neurology FPPGroup PAC ID 6103880794, 18 clinicians

Practice addresses (Care Compare)

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-3188

883 65TH St
Brooklyn, NY 11220-4737
Phone (718) 283-6367

Hospital & facility affiliations

  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194
  • Suny/Downstate University Hospital of Brooklyn Hospital, Brooklyn, NY, CCN 330350
  • New York Community Hospital of Brooklyn, Inc. Hospital, Brooklyn, NY, CCN 330019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
297906NYMDNeurology Physician

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Jul 16, 2021 Accepting new patients
Maimonides Medical Center Current Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Jun 22, 2021 Accepting new patients
University Physicians of Brooklyn, Inc. Neurology CurrentSince Jun 22, 2021 Accepting new patients
MMC Division of Neurology FPP Neurology CurrentSince Jul 16, 2021 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Past Accepting new patients

Locations

883 65th St
Brooklyn, NY 11220
Phone (718) 283-6367

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

450 Clarkson Ave
#1213
Brooklyn, NY 11203
Phone (718) 270-2430

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: susannaokula@mai.allscriptsdirect.net
  • Direct secure messaging: susanna.okula.p1@direct.mmc.nextgenshare.com
  • Direct secure messaging: sokula13422@nychhc.direct-ci.com
  • Direct secure messaging: susannaokula@sunydmc.allscriptsdirect.net

Organizations & group practices 11

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1104211432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE # MSC1213",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE # MSC1213",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-2959",
            "fax_number": "718-270-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KULA",
        "first_name": "SUSANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "297906",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "NY",
            "license": "297906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06784050",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.