Individual provider Active NPI

Suchee Madhusudan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Kingston, NY
National Provider Identifier
1841477346
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
203399 Issued in NY
Practice address
27 Grand St
Kingston, NY 12401-3933
Phone
(845) 338-1535
Fax
(845) 334-9879
NPI assigned
Jan 28, 2008
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 203399 NY Primary

Addresses

Primary practice location

27 Grand St
Kingston, NY 12401-3933

Mailing address

19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018

Other practice location 1

396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131

Other practice location 2

368 Broadway
Kingston, NY 12401-5144
Phone (845) 331-3131

Other practice location 3

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000

Other practice location 4

241 North Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000

Other identifiers 1

IdentifierTypeStateIssuer
203399-1OtherNYLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shuchee.madhusudan@wmchealth.cernerdirect.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
I20080417000117 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 8426136300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Nov 15, 2019 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Nov 15, 2019 Accepting new patients
Westchester Medical Center Past Accepting new patients
Richmond University Medical Center Past Accepting new patients

Locations

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

27 Grand St
Kingston, NY 12401
Phone (845) 338-1535

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
  • Direct secure messaging: madhusudans@hiemail.healtheconnections.org
  • Direct secure messaging: shuchee.madhusudan@wmchealth.cernerdirect.com

Organizations & group practices 4

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 6

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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1841477346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE STE 3100N",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-909-9018",
            "fax_number": "914-909-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GRAND ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013933",
            "telephone_number": "845-338-1535",
            "fax_number": "845-334-9879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "396 Broadway",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124014626",
            "country_code": "US",
            "telephone_number": "845-331-3131",
            "fax_number": "845-331-2530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "368 Broadway",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124015144",
            "country_code": "US",
            "telephone_number": "845-331-3131",
            "fax_number": "845-331-2530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-493-7000",
            "fax_number": "914-909-6417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 North Rd",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126011154",
            "country_code": "US",
            "telephone_number": "845-483-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADHUSUDAN",
        "first_name": "SUCHEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "203399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "203399-1",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shuchee.madhusudan@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "cerner direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "27 Grand St",
            "city": "Kingston",
            "state": "NY",
            "country_code": "US",
            "postal_code": "124013933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.