Individual provider Active NPI

Benjamin Suh, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bakersfield, CA
National Provider Identifier
1336554476
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5367 Issued in CA
Practice address
500 Old River Rd
Ste 185
Bakersfield, CA 93311-9505
Phone
(661) 832-1667
Fax
(661) 832-2039
NPI assigned
Jun 27, 2014
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5367 CA Primary

Addresses

Primary practice location

500 Old River Rd
Ste 185
Bakersfield, CA 93311-9505

Mailing address

423 E 23Rd St
New York, NY 10010-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170628002606 CA Practitioner - Podiatry 7911276357 Reassigns benefits to 1 organization
I20260624002219 CO Practitioner - Podiatry 7911276357

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3808 Devonshire LN
Pueblo, CO 81005-3247

73373 Country Club Dr
Apt 1606
Palm Desert, CA 92260-8621

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5367CAMDFoot & Ankle Surgery Podiatrist
5367CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Suh Podiatry LLC Foot & Ankle Surgery Current Accepting new patients
Bakersfield Foot & Ankle Surgeons, a Podiatry Group Inc Foot & Ankle Surgery CurrentSince Dec 1, 2021 Accepting new patients

Locations

500 Old River Rd
Ste 185
Bakersfield, CA 93311
Phone (661) 748-1886

Organizations & group practices 2

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 6

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": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1336554476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 E 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD RIVER RD",
            "address_2": "STE 185",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119505",
            "telephone_number": "661-832-1667",
            "fax_number": "661-832-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "BENJAMIN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.