MRS. PAYAL SUTHAR D.O.
NPI 1679702781
Internal Medicine - Rheumatology in Duluth, GA

Active since July 09, 2009PECOS EnrolledAccepts Medicare Assignment
3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096(404) 365-0966 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 13, 2022, Dec 28, 2021, Aug 29, 2016 (3 updates tracked since 2016).

About Mrs. Payal Suthar D.o. NPPES

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

MRS. PAYAL SUTHAR D.O. (NPI 1679702781) is an individual rheumatology provider in Duluth, Georgia, licensed in Georgia (071609) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Chicago College Of Osteopathy (2009).

NPPES Registry Identity

NPI1679702781
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameMRS. PAYAL SUTHARCredential: D.O.
Location Address3650 STEVE REYNOLDS BLVDDuluth, GA 30096-4506
Mailing Address3650 Steve Reynolds BlvdDuluth, GA 30096-4506 · (404) 365-0966
Sole ProprietorNo
Medical School CMSChicago College Of OsteopathyGraduated 2009
Enumeration DateJuly 9, 2009
Last NPPES UpdateJanuary 13, 20223 updates tracked since enumeration
✔ NPI 1679702781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in GA · 071609
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License BF4649604-A363 (IL)
3650 STEVE REYNOLDS BLVD, Duluth, GA 30096

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Payal Suthar D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325268428
PECOS Enrollment IDI20141010002141
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 Payal Suthar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialty
11731 POINTE PL
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 32 clinicians in this Medicare group
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Family Medicine
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Psychiatry & Neurology (Neurology)
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Audiologist
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Midwife
3650 STEVE REYNOLDS BLVD, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
DULUTH, GA 30096
Ophthalmology (Glaucoma Specialist)
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Pediatrics
3650 STEVE REYNOLDS BLVD, PEDIATRICS HEALTH CARE TEAM A
DULUTH, GA 30096
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Midwife
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096

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 Payal Suthar's NPI number?

The NPI number for Payal Suthar is 1679702781. It was assigned to this individual provider in the NPPES registry on July 9, 2009.

Where is Payal Suthar located?

Payal Suthar practices at 3650 Steve Reynolds Blvd, Duluth, GA 30096. The listed phone number is (404) 365-0966.

What is Payal Suthar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Payal Suthar enrolled in Medicare?

Yes. Payal Suthar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Payal Suthar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Payal Suthar reassigns Medicare benefits to 2 organizations: Arthritis & Rheumatology Center PC (Roswell, GA) and The Southeast Permanente Medical Group (Atlanta, GA). 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 Payal Suthar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Payal Suthar accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Payal Suthar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Payal Suthar affiliated with any hospitals?

According to CMS data, Payal Suthar is affiliated with Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Payal Suthar was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.