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HEATHER L SUKUMVANICH MD
NPI 1073557344
Obstetrics & Gynecology in Pittsburgh, PA

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
300 HALKET ST, PITTSBURGH, PA 15213(412) 641-6412(412) 641-6512 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Heather L Sukumvanich Md NPPES

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

HEATHER L SUKUMVANICH MD (NPI 1073557344) is an individual obstetrics & gynecology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD428497) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2002).

NPPES Registry Identity

NPI1073557344
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameHEATHER L SUKUMVANICHCredential: MD
Location Address300 HALKET STPittsburgh, PA 15213-3108
Mailing Address200 Lothrop St, Forbes Tower Suite 9055Pittsburgh, PA 15213-2546 · (412) 647-4627 · Fax (412) 647-4486
Phone(412) 641-6412
Fax(412) 641-6512
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2002
Enumeration DateJune 16, 2006
Last NPPES UpdateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1073557344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD428497
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
300 HALKET ST, Pittsburgh, PA 15213
Open in Google Maps ↗

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

Heather L Sukumvanich Md 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 ID8729090501
PECOS Enrollment IDI20060616000114
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
86 services84 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
48 services48 patients
Ultrasound of abdomen and pelvis artery and vein blood flow 93976
An ultrasound of your abdomen and pelvis arteries and veins is a non-invasive procedure that uses sound waves to create images of your blood vessels. This helps in assessing the flow of blood, identifying blockages, or detecting other abnormalities. It's a safe, painless process.
19 services17 patients
Ultrasound of abdomen and pelvis artery and vein blood flow 93976
An ultrasound of your abdomen and pelvis arteries and veins is a non-invasive procedure that uses sound waves to create images of your blood vessels. This helps in assessing the flow of blood, identifying blockages, or detecting other abnormalities. It's a safe, painless process.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY BARCASKEY
Nurse Practitioner (Obstetrics & Gynecology)
300 HALKET ST, SUITE 0610
PITTSBURGH, PA 15213
Allegheny County (412) 641-6412
CHELSEA RENEE ANDERSON
Nurse Practitioner
300 HALKET ST
PITTSBURGH, PA 15213
Allegheny County (412) 354-3907
ALLISON JOY DIPLACIDO
Nurse Practitioner (Neonatal, Critical Care)
300 HALKET ST
PITTSBURGH, PA 15213
Allegheny County (844) 300-7606
MEENA SETHURAMAN MD
Student in an Organized Health Care Education/Training Program
300 HALKET ST
PITTSBURGH, PA 15213
Allegheny County (412) 641-4455
JEFFREY FINE
Pathology (Anatomic Pathology & Clinical Pathology)
300 HALKET ST
PITTSBURGH, PA 15213
Allegheny County (412) 641-5400
ZENAIDA ROSADO
Obstetrics & Gynecology
300 HALKET ST, SUITE 5120
PITTSBURGH, PA 15213
Allegheny County (412) 641-6476
EDNA CHEUNG PHARM.D.
Pharmacist
300 HALKET ST
PITTSBURGH, PA 15213
Allegheny County (412) 641-4356
BENJAMIN ASCARI CRNA
Nurse Anesthetist, Certified Registered
300 HALKET ST, UPMC EAST
PITTSBURGH, PA 15213
Allegheny County (866) 696-2433

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 Heather Sukumvanich's NPI number?

The NPI number for Heather Sukumvanich is 1073557344. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Heather Sukumvanich located?

Heather Sukumvanich practices at 300 Halket St, Pittsburgh, PA 15213. The listed phone number is (412) 641-6412.

What is Heather Sukumvanich's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Heather Sukumvanich enrolled in Medicare?

Yes. Heather Sukumvanich 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.

Is Heather Sukumvanich affiliated with any hospitals?

According to CMS data, Heather Sukumvanich is affiliated with Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for Heather Sukumvanich was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.