NPIMap

Individual provider Active NPI

Sunitha Sukumaran, MD

  • Hematology & Oncology Physician
  • Clifton Park, NY
National Provider Identifier
1750359055
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
238650 Issued in NY
Practice address
3 Crossing Blvd Ste 1
Clifton Park, NY 12065-4172
Phone
(518) 831-4434
Fax
(518) 831-4435
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 238650 NY Primary

Addresses

Primary practice location

3 Crossing Blvd Ste 1
Clifton Park, NY 12065-4172

Mailing address

449 Route 146 Ste 101
Halfmoon, NY 12065-3239
Phone (518) 373-3924

Other identifiers 2

IdentifierTypeStateIssuer
P01235261OtherNYRAILROAD MEDICARE
3566176MedicaidNY

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
I20130720000088 NY Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology 4284640319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology, Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Oncology Hematology PCGroup PAC ID 3072406222, 82 clinicians

Practice addresses (Care Compare)

896 Riverview Rd
Rexford, NY 12148-1318
Phone (518) 399-4600

Hospital & facility affiliations

  • Community Hospice, Inc, the Hospice, Albany, NY, CCN 331501
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Oncology Hematology, P.C. Hematology & Oncology CurrentSince May 1, 2013 Accepting new patients
New York Oncology Hematology PC CurrentSince May 1, 2013 Accepting new patients
Cogent Healthcare of Wisconsin, SC Past Accepting new patients

Locations

400 Patroon Creek Blvd
Ste 1
Albany, NY 12206
Phone (518) 399-4600

449 Route 146
#101
Halfmoon, NY 12065
Phone (518) 373-3800

3 Crossing Blvd
Ste 1
Halfmoon, NY 12065
Phone (518) 831-4434

69 Prospect Ave
Hudson, NY 12534
Phone (212) 459-8173

896 Riverview Rd
Rexford, NY 12148
Phone (518) 399-4600

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 and National Provider Directory roles.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1750359055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 ROUTE 146 STE 101",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120653239",
            "telephone_number": "518-373-3924",
            "fax_number": "518-373-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CROSSING BLVD STE 1",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654172",
            "telephone_number": "518-831-4434",
            "fax_number": "518-831-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKUMARAN",
        "first_name": "SUNITHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "238650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01235261",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3566176",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.