DAVID P SUCHARD III M.D.
NPI 1629103205
Specialist in Santa Rosa, CA

Q: What is David Suchard's NPI number?

The NPI number for David Suchard is 1629103205. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Q: What is David Suchard's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is David Suchard enrolled in Medicare?

No. David Suchard has opted out of Medicare through February 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for David Suchard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 February 22, 2007Opted out of Medicare · through Feb 17, 2028

1260 N DUTTON AVE STE 244, SANTA ROSA, CA 95401(707) 546-2880(707) 546-2828 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About David P Suchard Iii M.d. NPPES

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

DAVID P SUCHARD III M.D. (NPI 1629103205) is an individual specialist in Santa Rosa, California, licensed in California (G77725) and active in the NPI registry since February 2007. He has opted out of Medicare through February 17, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629103205

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDAVID P SUCHARD IIICredential: M.D.

Location Address1260 N DUTTON AVE STE 244Santa Rosa, CA 95401-4672

Mailing Address1260 N Dutton Ave Ste 244Santa Rosa, CA 95401-4672 · (707) 546-2880 · Fax (707) 546-2828

Phone(707) 546-2880

Fax(707) 546-2828

Sole ProprietorNo

Enumeration DateFebruary 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629103205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G77725

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1260 N DUTTON AVE STE 244, Santa Rosa, CA 95401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

David P Suchard Iii 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 February 17, 2016 through February 17, 2028.

Opt-Out Effective DateFebruary 17, 2016

Opt-Out In Effect ThroughFebruary 17, 2028Opt-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.

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 David Suchard's NPI number?

The NPI number for David Suchard is 1629103205. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is David Suchard located?

David Suchard practices at 1260 N Dutton Ave Ste 244, Santa Rosa, CA 95401. The listed phone number is (707) 546-2880.

What is David Suchard's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is David Suchard enrolled in Medicare?

No. David Suchard has opted out of Medicare through February 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for David Suchard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.