NPIMap

Individual provider Active NPI

Nimit Sudan, M.D.

  • Hematology & Oncology Physician
  • Encino, CA
National Provider Identifier
1437199924
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C55192 Issued in CA
Practice address
15503 Ventura Blvd Ste 150
Encino, CA 91436-3115
Phone
(818) 995-8044
Fax
(818) 995-8007
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X C55192 CA Primary

Addresses

Primary practice location

15503 Ventura Blvd Ste 150
Encino, CA 91436-3115

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other names 1

  • Dr. Nimit Sudan Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120509000231 CA Practitioner - Hematology/Oncology 3072522820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Wayne State University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 1355248584, 1,426 clinicians

Practice addresses (Care Compare)

23929 McBean Pkwy
Suite 215
Valencia, CA 91355-4468
Phone (661) 255-5350

Hospital & facility affiliations

  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C55192CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Hematology & Oncology CurrentSince Aug 1, 2017 Accepting new patients
UCLA Medical Group Hematology & Oncology Past Accepting new patients
Meadville Medical Center Hematology & Oncology PastSince Aug 3, 2010 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Meadville Medical Center Past Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

15503 Ventura Blvd
Ste 150
Encino, CA 91436
Phone (818) 461-3321

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

27235 Tourney Rd
Ste 2400
Valencia, CA 91355
Phone (661) 253-5851

23929 McBean Pkwy
Ste 215
Valencia, CA 91355
Phone (661) 255-5350

25775 McBean Pkwy
Ste 115
Valencia, CA 91355
Phone (661) 255-2420

Interoperability endpoints

  • Direct secure messaging: nsudan551862@direct.uclahealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1437199924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15503 VENTURA BLVD STE 150",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363115",
            "telephone_number": "818-995-8044",
            "fax_number": "818-995-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDAN",
        "first_name": "NIMIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "C55192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIMIT",
            "last_name": "SUDAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.