NPIMap

Individual provider Active NPI

Ulrike Drees Sujansky, MD

  • Internal Medicine Physician
  • San Mateo, CA
National Provider Identifier
1700993177
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A054876 Issued in CA
Practice address
100 S San Mateo Dr
Ste 424
San Mateo, CA 94401
Phone
(650) 696-4440
Fax
(650) 696-4445
NPI assigned
Aug 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A054876 CA Primary

Addresses

Primary practice location

100 S San Mateo Dr
Ste 424
San Mateo, CA 94401

Mailing address

200 Highland Terrace
Woodside, CA 94062
Phone (650) 851-8279

Other names 1

  • Ulrike Doris Drees Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070921000291 CA Practitioner - Internal Medicine 0345334348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Stanford University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

34 N San Mateo Dr
Suite 1
San Mateo, CA 94401-2824

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A054876CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ulrike Sujansky MD Inc Internal Medicine Current Accepting new patients
Amy Daniher MD Inc Internal Medicine Past Accepting new patients

Locations

34 N San Mateo Dr
Ste 1
San Mateo, CA 94401
Phone (650) 344-5509

Interoperability endpoints

  • Direct secure messaging: usujansky46105@hisp.ehr.sutterhealth.org

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700993177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGHLAND TERRACE",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "94062",
            "telephone_number": "650-851-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S SAN MATEO DR",
            "address_2": "STE 424",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94401",
            "telephone_number": "650-696-4440",
            "fax_number": "650-696-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUJANSKY",
        "first_name": "ULRIKE",
        "middle_name": "DREES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A054876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ULRIKE",
            "last_name": "DREES",
            "middle_name": "DORIS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.