Individual provider Active NPI

Stan K Sujka, MD

  • Urology Physician
  • Orlando, FL
National Provider Identifier
1407844681
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME51657 Issued in FL
Practice address
41 W Kaley St
Orlando, FL 32806-2942
Phone
(407) 843-6645
Fax
(407) 843-4519
NPI assigned
Oct 11, 2005
Last updated
Mar 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME51657 FL Primary

Addresses

Primary practice location

41 W Kaley St
Orlando, FL 32806-2942

Mailing address

41 W Kaley St
Orlando, FL 32806-2942
Phone (407) 843-6645

Other identifiers 1

IdentifierTypeStateIssuer
037537300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
67.21 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
90.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME51657FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Urology Associates, PA Urology Current Accepting new patients

Locations

41 W Kaley St
Orlando, FL 32806
Phone (407) 843-6645

6001 Vineland Rd
Ste 101
Orlando, FL 32819
Phone (407) 352-0573

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1407844681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 W KALEY ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062942",
            "telephone_number": "407-843-6645",
            "fax_number": "407-843-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 W KALEY ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062942",
            "telephone_number": "407-843-6645",
            "fax_number": "407-843-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUJKA",
        "first_name": "STAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME51657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037537300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.