PRZEMYSLAW J. SUTKOWSKI M.D.
NPI 1396706545
Internal Medicine - Nephrology in Pittsburgh, PA

Q: What is Przemyslaw Sutkowski's NPI number?

The NPI number for Przemyslaw Sutkowski is 1396706545. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Q: What is Przemyslaw Sutkowski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment

5171 LIBERTY AVE, PITTSBURGH, PA 15224(412) 683-4550(412) 246-4567 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Przemyslaw J. Sutkowski M.d. NPPES

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

PRZEMYSLAW J. SUTKOWSKI M.D. (NPI 1396706545) is an individual nephrology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD062383L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1396706545

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NamePRZEMYSLAW J. SUTKOWSKICredential: M.D.

Location Address5171 LIBERTY AVEPittsburgh, PA 15224-2254

Mailing Address5171 Liberty AvePittsburgh, PA 15224-2254 · (412) 683-4550 · Fax (412) 246-4567

Phone(412) 683-4550

Fax(412) 246-4567

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateMarch 29, 2006

Last NPPES UpdateJuly 11, 2025

NPPES CertifiedJuly 11, 2025

✔ NPI 1396706545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in PA · MD062383L

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

5171 LIBERTY AVE, Pittsburgh, PA 15224

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Other Identifiers 1

Medicaid0018306430001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Przemyslaw J. Sutkowski 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 ID9436294774

PECOS Enrollment IDI20100819000075

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 Przemyslaw Sutkowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nps Physicians Pittsburgh, LLC

Same address

Nephrology

5171 LIBERTY AVE
Pittsburgh, PA 15224

Reassigned Medicare billing, Pennsylvania enrollment
47 clinicians in this Medicare group

NPI 1679137517 (412) 246-4567

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

261 services93 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

54 services30 patients

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.

49 services38 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

46 services43 patients

Hospital Affiliations CMS Care Compare 5

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

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390032

Location1301 Carlisle StNatrona, PA 15065 · Allegheny County

Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390090

Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County

Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390164

Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County

Emergency services

Forbes Hospital

Acute Care Hospitals · Monroeville, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390267

Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County

Emergency services Birthing friendly

Upmc East

Acute Care Hospitals · Monroeville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390328

Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15224 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

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 20

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

RENAL ENDOCRINE ASSOCIATES

Internal Medicine (Nephrology)

5171 LIBERTY AVE
PITTSBURGH, PA 15224

Allegheny County (412) 683-4550

THANH G NGUYEN M.D.

Internal Medicine (Nephrology)

5171 LIBERTY AVE
PITTSBURGH, PA 15224

Allegheny County (412) 683-4550

NANGALI S SRINIVASA MD

Internal Medicine (Nephrology)

5171 LIBERTY AVE
PITTSBURGH, PA 15224

Allegheny County (412) 683-4550

KAILA ELIZABETH YOUNG CRNP

Nurse Practitioner (Family)

5171 LIBERTY AVE
PITTSBURGH, PA 15224

Allegheny County (412) 683-4550

NABIL HARBY MIKHAEL M.D.

Internal Medicine (Nephrology)

5171 LIBERTY AVE
PITTSBURGH, PA 15224

Allegheny County (412) 683-4550

PITTSBURGH DIALYSIS PARTNERS LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

5171 LIBERTY AVE, STE C
PITTSBURGH, PA 15224

Allegheny County (412) 683-3212

MARLENE I. SPERL CRNP

Nurse Practitioner

5171 LIBERTY AVE
PITTSBURGH, PA 15224

Allegheny County (412) 683-4550

KELLI LOGUE PA

Physician Assistant (Medical)

5171 LIBERTY AVE
PITTSBURGH, PA 15224

Allegheny County (412) 683-4550

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 Przemyslaw Sutkowski's NPI number?

The NPI number for Przemyslaw Sutkowski is 1396706545. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Przemyslaw Sutkowski located?

Przemyslaw Sutkowski practices at 5171 Liberty Ave, Pittsburgh, PA 15224. The listed phone number is (412) 683-4550.

What is Przemyslaw Sutkowski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Przemyslaw Sutkowski enrolled in Medicare?

Yes. Przemyslaw Sutkowski 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.

Which organization bills Medicare for Przemyslaw Sutkowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Przemyslaw Sutkowski reassigns Medicare benefits to Nps Physicians Pittsburgh, LLC (Pittsburgh, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Przemyslaw Sutkowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Przemyslaw Sutkowski accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Przemyslaw Sutkowski 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.

Is Przemyslaw Sutkowski affiliated with any hospitals?

According to CMS data, Przemyslaw Sutkowski is affiliated with Allegheny Valley Hospital, West Penn Hospital, Upmc Presbyterian Shadyside, Forbes Hospital and Upmc East.

When was this NPI record last updated?

The NPPES record for Przemyslaw Sutkowski was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.