Krystal Sukhdeo, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

014215 Issued in NY

Practice address

409 William Floyd Pkwy
Shirley, NY 11967-3434

Phone

(212) 757-8686

NPI assigned

Feb 15, 2011

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

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Medical Professionals PLLCGroup PAC ID 6406868462, 91 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: krystalsukhdeo@imppllc.allscriptsdirect.net

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.

• Integrated Medical Professionals PLLC

  • Urology Physician
  • Lake Success, NY
  • NPI 1346203536
  Medicare reassignment Care Compare group NPD
• Integrated Medical Professionals PLLC

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
  • NPI 1295534626
  NPD
• DDM Medical, PC

  • Pain Clinic/Center
  • New York, NY
  • NPI 1427368281
  NPD (past)

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1639476385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 5TH AVE # 748",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168703",
            "telephone_number": "212-757-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 WILLIAM FLOYD PKWY",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673434",
            "telephone_number": "212-757-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKHDEO",
        "first_name": "KRYSTAL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suffolk Chiropractic Rehabilitation & Physical Therapy PLLC
• Suffolk Chiropractic Rehabilitation, P.C.
• Suffolk Home Care LLC
• Suffolk Surgery Center LLC
• Ramsha Suhail, MHC
• Sun River Health Inc
• Annmarie Sweeney, CASAC
• Taylor Sweezy, PHARMD
• Peninah Swierczek
• Atif Ali Syed, PA-C

• Physician Assistant in Shirley, NY
• Providers in Shirley, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.