Active NPI
Susan V Bukata, M.D.
- Orthopaedic Surgery Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- C55109
- Practice address
- 1250 16TH St
Suite 3142
Santa Monica, CA 90404-1249 - Phone
- (424) 259-9816
- Fax
- (424) 259-6591
- NPI assigned
- Jun 10, 2006
- Last updated
- Jun 11, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | C55109 | CA | Primary |
Addresses
Primary practice location
1250 16TH St
Suite 3142
Santa Monica, CA 90404-1249
Mailing address
1250 16TH St
Suite 3142
Santa Monica, CA 90404-1249
Phone (424) 259-9816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Columbia University College of Physicians and Surgeons, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 W Arbor Dr
San Diego, CA 92103-1910
Phone (858) 657-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.77 of 100
- Quality
- 84.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.88
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C55109 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Orthopaedic Surgery | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Universityofrochester | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients | |
| Highland Hospital of Rochester | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients |
Locations
9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000
9400 Campus Point Dr
La Jolla, CA 92093
Phone (800) 926-8783
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5720
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- San Diego, CA
- NPI 1225130677
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
dba Ucsd Medical Center Pharmacy
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
-
dba Resnick Neuropsychiatric Hospital at UCLA
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
dba Santa Monica UCLAMC and Orthopedic Hospital
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
-
- Family Medicine Physician
- Rochester, NY
- NPI 1740220698
-
- Critical Access Hospital
- Rochester, NY
- NPI 1346345162
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UCSD Medical Center
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1932140639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 16TH ST",
"address_2": "SUITE 3142",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041249",
"telephone_number": "424-259-9816",
"fax_number": "424-259-6591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 16TH ST",
"address_2": "SUITE 3142",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041249",
"telephone_number": "424-259-9816",
"fax_number": "424-259-6591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUKATA",
"first_name": "SUSAN",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "C55109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.