DR. SUSAN DENISE STUKES (DDS) – Dentist, NPI 1306146923

DR. SUSAN DENISE STUKES (DDS) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in DENTIST. They hold the professional credentials DDS. They hold a License No. 041240 (NY). The NPI Number for DR. SUSAN DENISE STUKES (DDS) is 1306146923

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN DENISE STUKES (DDS)
NPI
1306146923
Phone
(267) 331-9832
Address
8127 STENTON AVE
Enumeration Date
29 October 2010
Last Update Date
15 January 2019

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF DENTISTRY
Secondary Phone
2158441020
Graduation Year
1985 (41 years ago)
PAC ID
4486995271
Group Practice PAC ID
3476591686
Professional Enrollment ID
I20190404000058
Address ID
PA191441719PH251XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

92 DENTIST in PA

Provider Addresses for DR. SUSAN DENISE STUKES (DDS)

  • 8127 STENTON AVE

    PHILADELPHIA, PA 191503530

    Phone: (267) 331-9832

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $203.

Total Amount is formed as General ($203) + Research ($0) + Ownership ($0) = $203.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Gilead Sciences, Inc. ($149).

Total Amount

$203

General + Research + Ownership

Payments

4

Total payment records

General Amount

$203

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190404000058IDentistPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19150)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476591686View full group profile
NameSpecialtyState
Geriatric Medicine, Family PracticeFL
P O D I A T R YNJ

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SUSAN DENISE STUKES (DDS)'s NPI?
Yes. DR. SUSAN DENISE STUKES (DDS) is listed with NPI 1306146923 in the public NPI dataset.
Does the file indicate DR. SUSAN DENISE STUKES (DDS) is practicing under active NPI?
Directory data currently reports DR. SUSAN DENISE STUKES (DDS) as active.
What is DR. SUSAN DENISE STUKES (DDS)'s specialty?
The listing groups DR. SUSAN DENISE STUKES (DDS) with Dentist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. SUSAN DENISE STUKES (DDS) on a map?
Expect Philadelphia, Pennsylvania as a primary anchor for DR. SUSAN DENISE STUKES (DDS) unless the record lists multiple sites.
Is the information about DR. SUSAN DENISE STUKES (DDS) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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