DONNA M SUDAK M.D.
NPI 1245385913
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since January 24, 2007Opted out of Medicare · through Mar 5, 2027
245 N 15TH ST, MAIL STOP 403, PHILADELPHIA, PA 19102(215) 873-0245(215) 762-4259 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Donna M Sudak M.d. NPPES

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

DONNA M SUDAK M.D. (NPI 1245385913) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD053312L) and active in the NPI registry since January 2007. She has opted out of Medicare through March 5, 2027.

NPPES Registry Identity

NPI1245385913
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDONNA M SUDAKCredential: M.D.
Location Address245 N 15TH ST, MAIL STOP 403Philadelphia, PA 19102-1101
Mailing Address245 N 15th St, Mail Stop 403Philadelphia, PA 19102-1101 · (215) 873-0245 · Fax (215) 762-4259
Fax(215) 762-4259
Sole ProprietorYes
Enumeration DateJanuary 24, 2007
Last NPPES UpdateSeptember 18, 2014
✔ NPI 1245385913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD053312L
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
245 N 15TH ST, Philadelphia, PA 19102

Other Identifiers 2

Medicare UPINA05179PA
Medicare ID-Type Unspecified103543PA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Donna M Sudak M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 5, 2013 through March 5, 2027.

Opt-Out Effective DateMarch 5, 2013
Opt-Out In Effect ThroughMarch 5, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
245 N 15TH ST, MAIL STOP 435
PHILADELPHIA, PA 19102
Pathology (Anatomic Pathology & Clinical Pathology)
245 N 15TH ST, MS 435
PHILADELPHIA, PA 19102
Emergency Medicine
245 N 15TH ST
PHILADELPHIA, PA 19102
Emergency Medicine
245 N 15TH ST
PHILADELPHIA, PA 19102
Pathology (Anatomic Pathology & Clinical Pathology)
245 N 15TH ST, MS 435
PHILADELPHIA, PA 19102
Internal Medicine
245 N 15TH ST, 6TH FLOOR, MS 427
PHILADELPHIA, PA 19102
General Acute Care Hospital (Critical Access)
245 N 15TH ST
PHILA, PA 19102
Internal Medicine
245 N 15TH ST
PHILADELPHIA, PA 19102

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 Donna Sudak's NPI number?

The NPI number for Donna Sudak is 1245385913. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Donna Sudak located?

Donna Sudak practices at 245 N 15th St Mail Stop 403, Philadelphia, PA 19102. The listed phone number is (215) 873-0245.

What is Donna Sudak's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Donna Sudak enrolled in Medicare?

No. Donna Sudak has opted out of Medicare through March 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Donna Sudak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Donna Sudak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donna Sudak was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.