Individual provider Active NPI

Roger Hill-Sukie

  • Public Medicine Podiatrist
  • Bronx, NY
National Provider Identifier
1134530983
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Medicine PodiatristTaxonomy code 213EP0504X
License
00000000000 Issued in NY
Practice address
11 E 199TH St
Apt. Super
Bronx, NY 10468-1718
Phone
(646) 721-8553
NPI assigned
May 14, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Medicine Podiatrist 213EP0504X 00000000000 NY Primary

Addresses

Primary practice location

11 E 199TH St
Apt. Super
Bronx, NY 10468-1718

Mailing address

11 E 199TH St
Apt. Super
Bronx, NY 10468-1718
Phone (646) 721-8553

Other identifiers 1

IdentifierTypeStateIssuer
376377301MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171010000052 TX Practitioner - Podiatry 8426323999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

907 Garwood St
Smithville, TX 78957-1117
Phone (512) 237-4606

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue2430
Removal or shaving of skin growth1165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2296TXMDBehavioral Analyst
00000000000NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC CurrentSince Oct 5, 2017 Accepting new patients

Locations

425 Huehl Rd
#13
Northbrook, IL 60062
Phone (847) 504-5007

2003 W Hutchins Pl
San Antonio, TX 78224
Phone (210) 927-0800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1134530983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E 199TH ST",
            "address_2": "APT. SUPER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681718",
            "telephone_number": "646-721-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E 199TH ST",
            "address_2": "APT. SUPER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681718",
            "telephone_number": "646-721-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL-SUKIE",
        "first_name": "ROGER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "NY",
            "license": "00000000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376377301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.