DAVID P SUCHARD III M.D.
NPI 1629103205
Specialist in Santa Rosa, CA
- Individual
- Male
- Specialist
- PECOS Enrolled
- Opted-Out Medicare
About DAVID SUCHARD
This page provides the complete NPI Profile along with additional information for David Suchard, a provider established in Santa Rosa, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1629103205 assigned on February 2007. The practitioner's primary taxonomy code is 174400000X with license number G77725 (CA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1629103205 Verify this NPI
- Provider Name
- DAVID P SUCHARD III M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1260 N DUTTON AVE STE 244 SANTA ROSA, CA 95401
- Location Phone
- (707) 546-2880
- Location Fax
- (707) 546-2828
- Mailing Address
- 1260 N DUTTON AVE STE 244 SANTA ROSA, CA 95401
- Mailing Phone
- (707) 546-2880
- Mailing Fax
- (707) 546-2828
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-22-2007
- Last Update Date
- 07-08-2007
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. David Suchard opted out of Medicare effective on 02-17-2016 until 02-17-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- G77725
- License State
- CA
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
David Suchard 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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-17-2016
Opt-Out End Date: 02-17-2026
Eligible to Order and Refer? Yes
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
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629103205, enumerated as an "individual" on February 22, 2007.
The provider is located at 1260 N DUTTON AVE STE 244 SANTA ROSA, CA 95401 and the phone number is (707) 546-2880.
Specialist with taxonomy code 174400000X.
