Individual provider Active NPI

Abby Ruth Suddarth, P.A.

  • Physician Assistant
  • Manhattan, KS
National Provider Identifier
1437228210
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01202 Issued in KS
Practice address
1823 College Ave
Manhattan, KS 66502-3381
Phone
(785) 587-4238
Fax
(785) 565-4703
NPI assigned
Nov 7, 2006
Last updated
Jan 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01202 KS Primary
Medical Physician Assistant 363AM0700X 10000904A IN
Medical Physician Assistant 363AM0700X 1860 OK

Addresses

Primary practice location

1823 College Ave
Manhattan, KS 66502-3381

Mailing address

411 Oak Street
Sterling Medical Attn: Ryan Tibbs
Cincinnati, OH 45219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20071203000315 KS Practitioner - Physician Assistant 4587769963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manhattan Medical Group LLCGroup PAC ID 3870742505, 17 clinicians

Practice addresses (Care Compare)

200 Research Dr
Manhattan, KS 66503-3049
Phone (785) 539-4644

202 Research Dr
Manhattan, KS 66503-3049
Phone (785) 539-4644

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1860OKMDChiropractor
15-01202KSMDPhysician Assistant
10000904AINMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Respiratory & Critical Care Consultants P C Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1437228210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 OAK STREET",
            "address_2": "STERLING MEDICAL ATTN: RYAN TIBBS",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 COLLEGE AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023381",
            "telephone_number": "785-587-4238",
            "fax_number": "785-565-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDDARTH",
        "first_name": "ABBY",
        "middle_name": "RUTH",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01202",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10000904A",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.