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MS. JENNIFER SUDARSKY M.D.
NPI 1023193299
Family Medicine in Los Angeles, CA

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
11860 WILSHIRE BOULEVARD, SUITE 200, LOS ANGELES, CA 90025(310) 445-6600(310) 445-6601 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jennifer Sudarsky M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JENNIFER SUDARSKY M.D. (NPI 1023193299) is an individual family medicine provider in Los Angeles, California, licensed in California (A070017) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (1997).

NPPES Registry Identity

NPI1023193299
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. JENNIFER SUDARSKYCredential: M.D.
Location Address11860 WILSHIRE BOULEVARD, SUITE 200Los Angeles, CA 90025-6626
Mailing Address11860 Wilshire Boulevard, Suite 200Los Angeles, CA 90025-6626 · (310) 445-6600 · Fax (310) 445-6601
Phone(310) 445-6600
Fax(310) 445-6601
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1997
Enumeration DateOctober 26, 2006
Last NPPES UpdateJune 16, 2016
✔ NPI 1023193299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A070017
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11860 WILSHIRE BOULEVARD, Los Angeles, CA 90025
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Other Identifiers 2

Medicare UPIN101070
Medicare ID-Type Unspecified502774CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jennifer Sudarsky M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284626847
PECOS Enrollment IDI20040401001559
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Sudarsky's NPI number?

The NPI number for Jennifer Sudarsky is 1023193299. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Jennifer Sudarsky located?

Jennifer Sudarsky practices at 11860 Wilshire Boulevard Suite 200, Los Angeles, CA 90025. The listed phone number is (310) 445-6600.

What is Jennifer Sudarsky's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jennifer Sudarsky enrolled in Medicare?

Yes. Jennifer Sudarsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennifer Sudarsky was last updated on June 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.