Active NPI
Amanda Ruth Satheeskumar, NP
- Adult Health Nurse Practitioner
- East Meadow, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AG07200135
- Practice address
- 1363 Pine CT
East Meadow, NY 11554-4512 - Phone
- (516) 353-7191
- NPI assigned
- Dec 7, 2020
- Last updated
- Jul 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 309813 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | AG07200135 | NY | Primary |
Addresses
Primary practice location
1363 Pine CT
East Meadow, NY 11554-4512
Mailing address
1363 Pine CT
East Meadow, NY 11554-4512
Phone (516) 353-7191
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asatheeskumar287648@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | asatheeskumar287648@direct.urmc.rochester.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-4517
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.79 of 100
- Quality
- 70.46
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 85.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG07200135 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| Brookview Medical Associates, PLLC | Current | Accepting new patients | |
| Strong Renal Group | Current | Accepting new patients | |
| Jeanifer Uwaechie-Osordi NP in Psychiatry PLLC | Past | Accepting new patients |
Locations
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
601 Elmwood Ave
#675
Rochester, NY 14642
Phone (585) 275-4517
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 5
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.
-
- Nephrology Physician
- Rochester, NY
- NPI 1881641470
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
dba Mercy Hospital Professional Services
- General Acute Care Hospital
- Buffalo, NY
- NPI 1851929954
-
- Psychiatric/Mental Health Nurse Practitioner
- Far Rockaway, NY
- NPI 1477460921
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1972548568
-
dba Strong Memorial Hospital
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689984000000",
"number": "1588260582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1363 PINE CT",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115544512",
"telephone_number": "516-353-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 PINE CT",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115544512",
"telephone_number": "516-353-7191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATHEESKUMAR",
"first_name": "AMANDA",
"middle_name": "RUTH",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2023-07-22",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "309813",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "AG07200135",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asatheeskumar287648@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asatheeskumar287648@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; 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.