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MRS. SUSAMMA THOMAS IDICULA ANP
NPI 1720387343
Nurse Practitioner - Adult Health in New York, NY

Active since March 22, 2011PECOS Enrolled
120 WEST 106 STREET, THE JEWISH HOME & HOSPITAL, NEW YORK, NY 10025(212) 870-5000(212) 870-4905 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Susamma Thomas Idicula Anp NPPES

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

MRS. SUSAMMA THOMAS IDICULA ANP (NPI 1720387343) is an individual adult health provider in New York, New York, licensed in New York (F305565-1) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720387343
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. SUSAMMA THOMAS IDICULACredential: ANP
Location Address120 WEST 106 STREET, THE JEWISH HOME & HOSPITALNew York, NY 10025-0000
Mailing Address120 W 106th StNew York, NY 10025-3923 · (212) 870-5000 · Fax (212) 870-4905
Phone(212) 870-5000
Fax(212) 870-4905
Sole ProprietorNo
Enumeration DateMarch 22, 2011
✔ NPI 1720387343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F305565-1
120 WEST 106 STREET, New York, NY 10025
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Susamma Thomas Idicula Anp 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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
511 services145 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
365 services116 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
60 services60 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
45 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10025 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
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHINY MOLE MATHEW A.N.P.
Nurse Practitioner (Adult Health)
120 WEST 106 STREET
NEW YORK, NY 10025
New York County (212) 870-5759
MISS DYMPHNA GILHOOLEY NP
Nurse Practitioner (Adult Health)
120 WEST 106 STREET, MEDICAL OFFICE
NEW YORK, NY 10025
New York County (212) 870-5000
DR. MYINT MYINT SI M.D.
Internal Medicine (Geriatric Medicine)
120 WEST 106 STREET
NEW YORK, NY 10025
New York County (212) 870-5089

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 Susamma Idicula's NPI number?

The NPI number for Susamma Idicula is 1720387343. It was assigned to this individual provider in the NPPES registry on March 22, 2011.

Where is Susamma Idicula located?

Susamma Idicula practices at 120 West 106 Street The Jewish Home & Hospital, New York, NY 10025. The listed phone number is (212) 870-5000.

What is Susamma Idicula's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Susamma Idicula enrolled in Medicare?

Yes. Susamma Idicula is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susamma Idicula was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.