DR. VLAD SUDACOV DMD
NPI 1649694696
Dentist in New York, NY

Active since February 11, 2014PECOS Enrolled
425 MADISON AVE RM 403, NEW YORK, NY 10017(209) 764-5337 Get Directions Write a Review

NPPES record last updated: April 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2026, Jul 21, 2022, Oct 15, 2020 and 7 more (10 updates tracked since 2017).

About Dr. Vlad Sudacov Dmd NPPES

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

DR. VLAD SUDACOV DMD (NPI 1649694696) is an individual dentist in New York, New York, licensed in New York (057986) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649694696
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. VLAD SUDACOVCredential: DMD
Location Address425 MADISON AVE RM 403New York, NY 10017-1122
Mailing Address425 Madison Ave Rm 403New York, NY 10017-1122 · (209) 764-5337
Sole ProprietorYes
Enumeration DateFebruary 11, 2014
Last NPPES UpdateApril 18, 202610 updates tracked since enumeration
NPPES CertifiedApril 18, 2026
NPI 1649694696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in NY · 057986 Licensed in NJ · 22DI02603700
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
425 MADISON AVE RM 403, New York, NY 10017

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Vlad Sudacov Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10017 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Vlad Sudacov's NPI number?

The NPI number for Vlad Sudacov is 1649694696. It was assigned to this individual provider in the NPPES registry on February 11, 2014.

Where is Vlad Sudacov located?

Vlad Sudacov practices at 425 Madison Ave Rm 403, New York, NY 10017. The listed phone number is (209) 764-5337.

What is Vlad Sudacov's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Vlad Sudacov enrolled in Medicare?

Yes. Vlad Sudacov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vlad Sudacov was last updated on April 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.