Individual provider Active NPI

Sabrina N Sukhan, MD

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1205992286
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD432533 Issued in PA
Practice address
801 Spruce St.
Philadelphia, PA 19107-5701
Phone
(215) 829-3396
Fax
(215) 829-3661
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT184466 PA
Obstetrics & Gynecology Physician 207V00000X MD432533 PA Primary

Addresses

Primary practice location

801 Spruce St.
Philadelphia, PA 19107-5701

Mailing address

801 Spruce St.
Philadelphia, PA 19107-5701
Phone (215) 829-3396

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080730000362 PA Practitioner - Obstetrics/Gynecology 9032283700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

700 Spruce St
Philadelphia, PA 19106-4022
Phone (215) 829-8420

777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT184466PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Apr 1, 2008 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Obstetrics & Gynecology CurrentSince Apr 1, 2008 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
The Pennsylvania Hospital of the University of Pennsylvania Health Sys Past Accepting new patients

Locations

801 Spruce St
Philadelphia, PA 19107
Phone (215) 829-3396

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

700 Spruce St
Ste 200
Philadelphia, PA 19106
Phone (215) 829-3525

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 4

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1205992286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SPRUCE ST.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075701",
            "telephone_number": "215-829-3396",
            "fax_number": "215-829-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SPRUCE ST.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075701",
            "telephone_number": "215-829-3396",
            "fax_number": "215-829-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKHAN",
        "first_name": "SABRINA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT184466",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD432533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.