DR. LEROY SUTHERLAND, MD
NPI 1609805084
Anesthesiology in Somerville, NJ

NPI Status: Active since June 30, 2006

Contact Information

110 REHILL AVE
SOMERVILLE, NJ
ZIP 08876
Phone: (908) 209-5247

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  • Individual
  • Male
  • Years of Experience 36
  • Anesthesiology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About LEROY SUTHERLAND,

Leroy Sutherland, is an anesthesiologist established in Somerville, New Jersey and his medical specialization is Anesthesiology with more than 36 years of experience. The healthcare provider is registered in the NPI registry with number 1609805084 assigned on June 2006. The practitioner's primary taxonomy code is 207L00000X with license number 25MA09590900 (NJ). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1609805084
Provider Name
DR. LEROY SUTHERLAND, MD
Gender
Male
Entity Type
Individual
Location Address
110 REHILL AVE SOMERVILLE, NJ 08876
Location Phone
(908) 209-5247
Mailing Address
285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873
Mailing Phone
(732) 271-1400
Mailing Fax
Medical School Name
OTHER
Graduation Year
1989
Is Sole Proprietor?
No
Enumeration Date
06-30-2006
Last Update Date
05-06-2019
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An anesthesiologist like Leroy Sutherland, manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Leroy Sutherland, is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
25MA09590900
License State
NJ
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

218334 (NY)

PECOS Enrollment and Medicare Participation Status

Leroy Sutherland, is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6406840123

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20150423001949

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Leroy Sutherland, is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
OVERLOOK MEDICAL CENTER99 BEAUVOIR AVENUE
SUMMIT, NJ 7902
(908) 522-2000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609805084
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260916010016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 6 + 0 + 1 + 0 + 0 + 1 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1609805084 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851391064 LLOYD A DAVIS MD
Individual
Family Medicine110 REHILL AVE
SOMERVILLE, NJ 08876
(908) 685-2200
1366434771FACULTY FAMILY PRACTICE AT SOMERSET, LLC
Organization
Family Medicine110 REHILL AVE
SOMERVILLE, NJ 08876
(908) 685-2900
1215970470 DENNIS MCGILL MD
Individual
Emergency Medicine110 REHILL AVE SOMERSET MEDICAL CENTER (EMERGENCY DEPARTMENT)
SOMERVILLE, NJ 08876
(908) 685-2200
1891739561 LAURA SHIH DO
Individual
Emergency Medicine110 REHILL AVE SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
(908) 685-2200
1063431450 GEORGE SCHROEPFER PA
Individual
Physician Assistant110 REHILL AVE SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
(908) 685-2200
1154340008 RICHARD BERGER MD
Individual
Emergency Medicine110 REHILL AVE SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
(908) 685-2200
1801815675 DELIA FIGUEROA MD
Individual
Emergency Medicine110 REHILL AVE SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
(908) 685-2200
1578582425 ANTHONY HARTMANN MD
Individual
Emergency Medicine110 REHILL AVE SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
(908) 685-2200
1902825847 MICHAEL GOULD MD
Individual
Emergency Medicine110 REHILL AVE SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
(908) 685-2200
1316969967 ANTHONY FRANCIS DAGUILLO MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)110 REHILL AVE
SOMERVILLE, NJ 08876
(908) 685-2935
1396752937 ALISON D'ALLEVA PA
Individual
Physician Assistant110 REHILL AVE SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
(908) 685-2200
1881604908 TSUEY-LING CHEN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)110 REHILL AVE
SOMERVILLE, NJ 08876
(908) 685-2935
1790887412MR. ELIAS P HERMOSILLA MD
Individual
Surgery110 REHILL AVE SOMERSET MED CENTER
SOMERVILLE, NJ 08876
(908) 685-2200
1679679823 LISA CEPPETELLI MD
Individual
Emergency Medicine110 REHILL AVE SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
(908) 685-2200
1356447874 ROBERT MOORE MD
Individual
Emergency Medicine110 REHILL AVE SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
(908) 685-2200
1972694933 CAROLYN DUCOFF PA
Individual
Physician Assistant110 REHILL AVE SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
(908) 685-2200
1497848774DR. SHEHZANA ASHRAF MD
Individual
Internal Medicine110 REHILL AVE
SOMERVILLE, NJ 08876
(908) 685-2200
1073691226 KALPESH P. PATEL DO
Individual
Pediatrics110 REHILL AVE
SOMERVILLE, NJ 08876
(908) 685-2864
1235204975 INGRID TAINA FALLS MD
Individual
Psychiatry & Neurology (Psychiatry)110 REHILL AVE
SOMERVILLE, NJ 08876
(908) 526-2922
1356401806 SHUNLI HOU
Individual
Pediatrics110 REHILL AVE SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
(908) 685-2864

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609805084, enumerated in the NPI registry as an "individual" on June 30, 2006

The provider is located at 110 Rehill Ave Somerville, Nj 08876 and the phone number is (908) 209-5247

The provider's speciality is Anesthesiology with taxonomy code 207L00000X

The provider has more than 36 years of experience.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): OVERLOOK MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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