KEVIN SUTTLES
NPI 1164143400
Nurse Practitioner - Family in Passaic, NJ

Q: What is Kevin Suttles's NPI number?

The NPI number for Kevin Suttles is 1164143400. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Q: What is Kevin Suttles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Suttles was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 06, 2022PECOS EnrolledAccepts Medicare Assignment

293 PASSAIC ST, PASSAIC, NJ 07055(973) 916-0002(973) 371-2543 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Kevin Suttles NPPES

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

KEVIN SUTTLES (NPI 1164143400) is an individual family provider in Passaic, New Jersey, licensed in New Jersey (26NJ01343800) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Hudson Regional Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164143400

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKEVIN SUTTLES

Location Address293 PASSAIC STPassaic, NJ 07055-5803

Mailing Address293 Passaic StPassaic, NJ 07055-5803 · (973) 916-0002 · Fax (973) 371-2543

Phone(973) 916-0002

Fax(973) 371-2543

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 6, 2022

NPPES CertifiedSeptember 6, 2022

✔ NPI 1164143400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NJ · 26NJ01343800

293 PASSAIC ST, Passaic, NJ 07055

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Suttles 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 ID9133505761

PECOS Enrollment IDI20221004003296

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.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Suttles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shah Anuj MD PC

Same address

Interventional Cardiology

293 PASSAIC ST
Passaic, NJ 07055

Reassigned Medicare billing, New Jersey enrollment
20 clinicians in this Medicare group

NPI 1215445127 (973) 916-0002

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

209 services125 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

51 services23 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

18 services11 patients

Hospital Affiliations CMS Care Compare

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

Hudson Regional Hospital

Acute Care Hospitals · Secaucus, NJ

1/5 CMS rating

OwnershipProprietary

CMS Certification Number310118

Location55 Meadowlands PkwySecaucus, NJ 07094 · Hudson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07055 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

Other Providers at the Same Location NPPES 13

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

DR. KUNAL BRAHMBHATT M.D.

Internal Medicine (Interventional Cardiology)