Active NPI
Richard Sulkow, MD
- Anesthesiology Physician
- Troy, NY
National Provider Identifier
1649214719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 156676-1
- Practice address
- 2215 Burdett Ave
Samaritan Hospital
Troy, NY 12180-2466 - Phone
- (518) 271-3208
- Fax
- (518) 271-3258
- NPI assigned
- Jun 16, 2006
- Last updated
- Dec 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 156676-1 | NY | Primary |
Addresses
Primary practice location
2215 Burdett Ave
Samaritan Hospital
Troy, NY 12180-2466
Mailing address
Troy Anesthesiologists, PC.
P.O. Box 3308
Buffalo, NY 14240-3308
Phone (866) 868-8419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00846933 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156676-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Anesthesia Services, P.C. | Anesthesiology | Past | Accepting new patients |
| Troy Anesthesiologists, PC | Anesthesiology | Past | Accepting new patients |
| Troy Infectious Disease and Primary Care LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Troy, NY
- NPI 1649218686
-
- Infectious Disease Physician
- Troy, NY
- NPI 1952609125
-
dba Long Island Anesthesia Associates
- Anesthesiology Physician
- East Meadow, NY
- NPI 1629272141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1649214719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TROY ANESTHESIOLOGISTS, PC.",
"address_2": "P.O. BOX 3308",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142403308",
"telephone_number": "866-868-8419",
"fax_number": "845-790-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 BURDETT AVE",
"address_2": "SAMARITAN HOSPITAL",
"city": "TROY",
"state": "NY",
"postal_code": "121802466",
"telephone_number": "518-271-3208",
"fax_number": "518-271-3258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULKOW",
"first_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "156676-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00846933",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.