Individual provider Active NPI

Dharmeshkumar Vallabhbhai Sutariya, MD

  • Nephrology Physician
  • Jackson Heights, NY
National Provider Identifier
1215190756
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
249408 Issued in NY
Practice address
3435 70TH St
Queens Artificial Kidney Center
Jackson Heights, NY 11372-1055
Phone
(718) 651-9700
Fax
(718) 533-0264
NPI assigned
Jul 3, 2008
Last updated
Dec 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 249408 NY Primary

Addresses

Primary practice location

3435 70TH St
Queens Artificial Kidney Center
Jackson Heights, NY 11372-1055

Mailing address

3435 70TH St
Queens Artificial Kidney Center
Jackson Heights, NY 11372-1055
Phone (718) 651-9700

Other practice location 1

3751 91st St
Jackson Heights, NY 11372-7927
Phone (347) 460-4253

Other practice location 2

22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone (347) 460-4253

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101206000835 NY Practitioner - Internal MedicinePractitioner - Nephrology 7113114901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Kidney PhysiciansGroup PAC ID 4284978115, 8 clinicians

Practice addresses (Care Compare)

3435 70TH St
Jackson Heights, NY 11372-1055
Phone (718) 651-9700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai Nephrology CurrentSince May 1, 2015 Accepting new patients
South Queens Nephrology Asso Nephrology Past Accepting new patients

Locations

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-4951

Networks

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

Interoperability endpoints

  • Direct secure messaging: dsutariya16375@direct.acumenmd.com

Organizations & group practices 5

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.

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1215190756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 70TH ST",
            "address_2": "QUEENS ARTIFICIAL KIDNEY CENTER",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721055",
            "telephone_number": "718-651-9700",
            "fax_number": "718-533-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 70TH ST",
            "address_2": "QUEENS ARTIFICIAL KIDNEY CENTER",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721055",
            "telephone_number": "718-651-9700",
            "fax_number": "718-533-0264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3751 91st St",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727927",
            "country_code": "US",
            "telephone_number": "347-460-4253",
            "fax_number": "718-355-9650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22414 Merrick Blvd",
            "address_purpose": "LOCATION",
            "city": "Laurelton",
            "state": "NY",
            "postal_code": "114132023",
            "country_code": "US",
            "telephone_number": "347-460-4253",
            "fax_number": "718-355-9650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTARIYA",
        "first_name": "DHARMESHKUMAR",
        "middle_name": "VALLABHBHAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "249408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.