NPIMap

Individual provider Active NPI

Julie R Skrabucha, RPA-C

  • Physician Assistant
  • Amherst, NY
National Provider Identifier
1558387175
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011255-1 Issued in NY
Practice address
4949 Harlem Rd
Amherst, NY 14226-2500
Phone
(716) 204-3200
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011255-1 NY Primary

Addresses

Primary practice location

4949 Harlem Rd
Amherst, NY 14226-2500

Mailing address

276B Miller St
Depew, NY 14043-4510
Phone (716) 465-5972

Other practice location 1

1616 Kensington Ave
Buffalo, NY 14215-1433
Phone (716) 835-3097

Other names 1

  • Miss Julie R Suto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090402000218 NY Practitioner - Physician Assistant 7214084524 Reassigns benefits to 3 organizations

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
Kaleida HealthGroup PAC ID 7810805280, 214 clinicians
University Orthopaedic Services Inc.Group PAC ID 7810983004, 115 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-5600

160 Farber Hall
Buffalo, NY 14214-8001
Phone (716) 829-2070

5959 Big Tree Rd
Orchard Park, NY 14127-2210
Phone (716) 204-3200

900 Hertel Ave
Buffalo, NY 14216-2611
Phone (716) 871-1571

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

Merit-based Incentive Payment System (MIPS)

Final score
99.06 of 100Reported as group
Quality
87.72
Promoting interoperability
100
Improvement activities
40
Cost
75.82

Merit-based Incentive Payment System (MIPS)

Final score
88.69 of 100Reported as group
Quality
77.6
Promoting interoperability
100
Improvement activities
40
Cost
81.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011255-1NYMDPsychologist
011255NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health CurrentSince Oct 27, 2018 Accepting new patients
University Orthopaedic Services Inc. CurrentSince May 1, 2021 Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Aug 1, 2008 Accepting new patients
University Orthopaedic Services, Inc CurrentSince May 1, 2021 Accepting new patients
Kaleida Health CurrentSince Oct 27, 2018 Accepting new patients
Kaleida Health Past Accepting new patients
General Physician, PC Past Accepting new patients

Locations

2099 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 204-2273

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

4949 Harlem Rd
Buffalo, NY 14226
Phone (716) 204-3201

100 High St
#D3
Buffalo, NY 14203
Phone (716) 859-1168

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070

5959 Big Tree Rd
Ste 108
Orchard Park, NY 14127
Phone (716) 810-7997

111 N Maplemere Rd
Ste 100
Williamsville, NY 14221
Phone (716) 810-7997

Interoperability endpoints

  • Direct secure messaging: jskrabucha@ubortho.medentdirect.com

Organizations & group practices 8

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 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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1558387175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276B MILLER ST",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434510",
            "telephone_number": "716-465-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 HARLEM RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262500",
            "telephone_number": "716-204-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1616 Kensington Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142151433",
            "country_code": "US",
            "telephone_number": "716-835-3097",
            "fax_number": "716-837-4654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKRABUCHA",
        "first_name": "JULIE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011255-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "SUTO",
            "middle_name": "R",
            "prefix": "MISS",
            "credential": "MPAS, RPA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.