Individual provider Active NPI

Renat Sukhov, MD

  • Pediatric Rehabilitation Medicine Physician
  • New York, NY
National Provider Identifier
1831286483
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
212874 Issued in NY
Practice address
400 E 34TH St
RM 518
New York, NY 10016-4901
Phone
(212) 263-0501
Fax
(212) 263-8815
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X 212874 NY Primary

Addresses

Primary practice location

400 E 34TH St
RM 518
New York, NY 10016-4901

Mailing address

400 E 34TH St
RM 518
New York, NY 10016-4901
Phone (212) 263-4919

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rsukhov14429@nyumc.direct-ci.com Direct

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000007 NY Practitioner - Physical Medicine and Rehabilitation 1951366731 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, shared by 41 NPIs, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

16 TH St and 1St Ave
New York, NY 10003-3804
Phone (212) 420-2000

301 E 17TH St
New York, NY 10003-3804
Phone (212) 263-7300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Dec 1, 2010 Accepting new patients
New York University CurrentSince Dec 1, 2010 Accepting new patients
NYU Langone Hospitals CurrentSince Apr 12, 2023 Accepting new patients
United Cerebral Palsy Association of Nassau County, Inc. CurrentSince Oct 18, 2009 Accepting new patients
New York University Current Accepting new patients
New York University CurrentSince Dec 1, 2010 Accepting new patients
NYU Langone Hospitals CurrentSince Apr 12, 2023 Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

5610 2nd Ave
Brooklyn, NY 11220
Phone (718) 630-7499

301 E 17th St
Fl 4
New York, NY 10003
Phone (212) 598-2759

400 E 34th St
Rm 518
New York, NY 10016
Phone (212) 263-0501

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

324 E 23rd St
New York, NY 10010
Phone (212) 460-7800

301 E 17th St
Rm 452
New York, NY 10003

380 Washington Ave
Roosevelt, NY 11575
Phone (516) 375-2000

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: rsukhov683227@nychhc.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1831286483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 34TH ST",
            "address_2": "RM 518",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164901",
            "telephone_number": "212-263-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 34TH ST",
            "address_2": "RM 518",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164901",
            "telephone_number": "212-263-0501",
            "fax_number": "212-263-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKHOV",
        "first_name": "RENAT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "NY",
            "license": "212874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsukhov14429@nyumc.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "301 E 17th St Fl 4",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100033804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.