DR. BRIAN SCOTT SUCHARETZA MD
NPI 1710987581
Internal Medicine - Nephrology in Mishawaka, IN

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment
515 PARK PLACE, SUITE 200, MISHAWAKA, IN 46545(574) 607-4724(574) 607-4725 Get Directions Write a Review

NPPES record last updated: March 17, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Brian Scott Sucharetza Md NPPES

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

DR. BRIAN SCOTT SUCHARETZA MD (NPI 1710987581) is an individual nephrology provider in Mishawaka, Indiana, licensed in Indiana (01042730A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Johns Hopkins University School Of Medicine (1988).

NPPES Registry Identity

NPI1710987581
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. BRIAN SCOTT SUCHARETZACredential: MD
Location Address515 PARK PLACE, SUITE 200Mishawaka, IN 46545-3566
Mailing Address515 Park Place, Suite 200Mishawaka, IN 46545-3566 · (574) 607-4724 · Fax (574) 607-4725
Fax(574) 607-4725
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1988
Enumeration DateJuly 22, 2005
Last NPPES UpdateMarch 17, 2016
✔ NPI 1710987581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IN · 01042730A
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
515 PARK PLACE, Mishawaka, IN 46545

Other Identifiers 2

Medicare UPINE96564IN
Medicaid100462420AIN

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

Dr. Brian Scott Sucharetza Md 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 ID3375431703
PECOS Enrollment IDI20100120000213
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 Reassignment

Medicare enrollment records show Brian Sucharetza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology
3665 PARK PL W, SUITE 300
Mishawaka, IN 46545
  • Reassigned Medicare billing, Indiana enrollment
  • 10 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
83 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
32 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services15 patients

Hospital Affiliations CMS Care Compare

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Brian Sucharetza's NPI number?

The NPI number for Brian Sucharetza is 1710987581. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Brian Sucharetza located?

Brian Sucharetza practices at 515 Park Place Suite 200, Mishawaka, IN 46545. The listed phone number is (574) 607-4724.

What is Brian Sucharetza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Brian Sucharetza enrolled in Medicare?

Yes. Brian Sucharetza 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 organization bills Medicare for Brian Sucharetza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Sucharetza reassigns Medicare benefits to Kidney Care Of Michiana LLC (Mishawaka, IN). The 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 Brian Sucharetza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Sucharetza accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Brian Sucharetza 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 Brian Sucharetza affiliated with any hospitals?

According to CMS data, Brian Sucharetza is affiliated with Saint Joseph Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Sucharetza was last updated on March 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.