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NICOLE J SUTTON MD
NPI 1659457505
Pediatrics - Pediatric Cardiology in Bronx, NY

Active since October 31, 2006PECOS Enrolled
100/100
CMS Quality Rating
3415 BAINBRIDGE AVE, BRONX, NY 10467(718) 741-2343(718) 920-4351 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nicole J Sutton Md NPPES

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

NICOLE J SUTTON MD (NPI 1659457505) is an individual pediatric cardiology provider in Bronx, New York, licensed in New York (217408) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of New York University Medical College - Nlg (1998).

NPPES Registry Identity

NPI1659457505
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameNICOLE J SUTTONCredential: MD
Location Address3415 BAINBRIDGE AVEBronx, NY 10467-2403
Mailing Address3415 Bainbridge AvenueNew York, NY 10028-4669 · (718) 741-2343 · Fax (718) 920-4351
Phone(718) 741-2343
Fax(718) 920-4351
Sole ProprietorNo
Medical School CMSNew York University Medical College - NlgGraduated 1998
Enumeration DateOctober 31, 2006
Last NPPES UpdateDecember 19, 2016
✔ NPI 1659457505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in NY · 217408
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
3415 BAINBRIDGE AVE, Bronx, NY 10467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole J Sutton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799704813
PECOS Enrollment IDI20051117000978
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Sutton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
0.1 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
Sbh Physicians, PC
2.0 mi
Internal Medicine
4422 THIRD AVENUE, BRAKER BUILDING
Bronx, NY 10457
  • Reassigned Medicare billing, New York enrollment
  • 256 clinicians in this Medicare group
NPI 1740595917 (718) 960-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

MRS. ASHLEY RAE NOBOA MSN, FNP-C
Nurse Practitioner (Family)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 920-7200
MADELEINE ANN STEINHAUER RN
Registered Nurse
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (914) 417-7684
MOHAMMED AMIN FADOL AMIN
Pediatrics (Pediatric Nephrology)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
BASIRAT SHOBERU PHARMD, BCPPS
Pharmacist (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 528-2254
DR. OMOTOLA ADETOUN AKINTOLA MD, MPH
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
SARAH LOIS RADER MD
Pediatrics
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
MAHESH KUMAR ATHWANI MD
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 920-3000
MARGARET FARRELLY COLLINS FRUZZETTI CPNP
Nurse Practitioner (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2150

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 Nicole Sutton's NPI number?

The NPI number for Nicole Sutton is 1659457505. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Nicole Sutton located?

Nicole Sutton practices at 3415 Bainbridge Ave, Bronx, NY 10467. The listed phone number is (718) 741-2343.

What is Nicole Sutton's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Nicole Sutton enrolled in Medicare?

Yes. Nicole Sutton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Sutton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Sutton reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (Bronx, NY) and Sbh Physicians, PC (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Sutton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Sutton was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.