Individual provider Active NPI

Riza Kuthu, PA

  • Physician Assistant
  • Bensalem, PA
National Provider Identifier
1205709045
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
034621 Issued in NY
Practice address
2847 Marion Ave
Bensalem, PA 19020-4224
Phone
(267) 367-0964
NPI assigned
Sep 26, 2025
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 034621 NY Primary

Addresses

Primary practice location

2847 Marion Ave
Bensalem, PA 19020-4224

Mailing address

2847 Marion Ave
Bensalem, PA 19020-4224
Phone (267) 367-0964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251229002478 NY Practitioner - Physician Assistant 1759877822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2255 -2257 Adam Clayton Powell Blvd
New York, NY 10027-7979

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034621NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hemant Patel MD PC Multi-Specialty CurrentSince Dec 1, 2025 Accepting new patients

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, 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": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1205709045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2847 MARION AVE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204224",
            "telephone_number": "267-367-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2847 MARION AVE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204224",
            "telephone_number": "267-367-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTHU",
        "first_name": "RIZA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "034621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.