Active NPI
Neeta Dattoba Sukthanker, MD
- Hospitalist Physician
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 049208
- Practice address
- 1000 Medical Center Blvd
Inpatient Medical Group
Lawrenceville, GA 30046-7694 - Phone
- (678) 312-3273
- Fax
- (678) 312-3282
- NPI assigned
- Jun 24, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 049208 | GA | |
| Hospitalist Physician | 208M00000X | 049208 | GA | Primary |
Addresses
Primary practice location
1000 Medical Center Blvd
Inpatient Medical Group
Lawrenceville, GA 30046-7694
Mailing address
PO Box 1170
Lawrenceville, GA 30046-1170
Phone (470) 325-0159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000897938E | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | neeta.sukthanker.p2@direct.gmg.nextgenshare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040630000734 | GA | Practitioner - Hospitalist | 5991782740 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Atlanta Professional Services LLC
Practice addresses (Care Compare)
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (770) 255-7500
Hospital & facility affiliations
- Northside Hospital Gwinnett
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.79 of 100
- Quality
- 98.74
- Improvement activities
- 40
- Cost
- 83.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Professional Services LLC | Hospitalist | Current | Accepting new patients |
| Northside Hospital, Inc. | Past | Accepting new patients | |
| Gwinnett Medical Group, Inc | Internal Medicine | Past | Accepting new patients |
Locations
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
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.
-
- General Practice Physician
- Lawrenceville, GA
- NPI 1780747469
Internal Medicine
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1790711265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1170",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300461170",
"telephone_number": "470-325-0159",
"fax_number": "470-325-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER BLVD",
"address_2": "INPATIENT MEDICAL GROUP",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467694",
"telephone_number": "678-312-3273",
"fax_number": "678-312-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUKTHANKER",
"first_name": "NEETA",
"middle_name": "DATTOBA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "049208",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "049208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000897938E",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "neeta.sukthanker.p2@direct.gmg.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "Direct Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "1000 Medical Center Blvd",
"address_2": "Inpatient Medical Group",
"city": "Lawrenceville",
"state": "GA",
"country_code": "US",
"postal_code": "300467694",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.