Fabiola Suty

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2213 Issued in NV

Practice address

3270 N Buffalo Dr
Las Vegas, NV 89129-7402

Phone

(702) 676-2000

NPI assigned

Jan 1, 2020

Last updated

Oct 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Fabiola Capano Former name

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pouya Mohajer MD LTDGroup PAC ID 3173529583, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Pouya Mohajer MD LTD

  dba PriMMed Pain Institute

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1902826464
  Medicare reassignment Care Compare group NPD
• Brian Le DO PC

  • Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1598070914
  Medicare reassignment
• Pouya Mohajer MD LTD

  dba Primmed

  • Durable Medical Equipment & Medical Supplies
  • Pahrump, NV
  • NPI 1952298853
  NPD
• Healthcare Partners Medical Group (Coats) LTD.

  • Pediatrics Physician
  • Las Vegas, NV
  • NPI 1902883341
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1427697952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 CARNIVAL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891230916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 N BUFFALO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297402",
            "telephone_number": "702-676-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTY",
        "first_name": "FABIOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-01",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FABIOLA",
            "last_name": "CAPANO",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Omar Devon Sutton Jr.
• Rachel Sutton
• Stacy Sutton, MSW
• Tatiana Sutton
• Victor C Sutton, M.S.W
• Irma Suwandua
• Suzan Fu DDS LTD a Nevada Corp
• Suzie Nguyen-Su, DDS., LTD
• Suzys Care LLC
• Robert M Svarney Jr., D.D.S.

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.