Individual provider Active NPI

Sutina Kardas, PA-C

  • Physician Assistant
  • Albany, NY
National Provider Identifier
1912554551
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
22 New Scotland Ave
Albany, NY 12208-3795
Phone
(518) 262-3125
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

22 New Scotland Ave
Albany, NY 12208-3795

Mailing address

2 Clara Barton Dr
Albany, NY 12208-3472

Other practice location 1

27 N 27th St Ste 21E
Billings, MT 59101-2373
Phone (406) 200-8471

Other names 1

  • Sutina Sukarat Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MT, ID3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191226000552 NY Practitioner - Physician Assistant 8426482522 Reassigns benefits to 2 organizations
I20240119000752 MT Practitioner - Physician Assistant 8426482522 Reassigns benefits to 1 organization
I20240509002344 ID Practitioner - Physician Assistant 8426482522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Albany Medical College of Union University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Frontier Psychiatry PLLCGroup PAC ID 7315378874, 33 clinicians

Practice addresses (Care Compare)

1601 Lewis Ave
Suite 102
Billings, MT 59102-4182
Phone (406) 200-8471

221 Ashlin CT
Sandpoint, ID 83864-5209
Phone (440) 320-5874

4696 W Overland Rd
Suite 168
Boise, ID 83705-2878
Phone (406) 200-8471

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Physician Assistant CurrentSince Nov 18, 2019 Accepting new patients
Albany Medical College CurrentSince Nov 18, 2019 Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

22 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5333

2 Clara Barton Dr
Albany, NY 12208
Phone (518) 262-5511

Interoperability endpoints

  • Direct secure messaging: sutina.kardas.1@29777.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1912554551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CLARA BARTON DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083795",
            "telephone_number": "518-262-3125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 N 27th St Ste 21E",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591012373",
            "country_code": "US",
            "telephone_number": "406-200-8471",
            "fax_number": "833-465-3766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARDAS",
        "first_name": "SUTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUTINA",
            "last_name": "SUKARAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.