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

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: August 02, 2026.

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 West Penn 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
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

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.

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 West Penn Hospital, Upmc St Margaret, 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 12 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.