Nilay Sutaria, M.D.
NPI 1205256609 · Advanced Heart Failure and Transplant Cardiology Physician · Atlanta, GA
Enrolled with Medicare as Practitioner - Advanced Heart Failure and Transplant Cardiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nilay Sutaria, M.D. is a Advanced Heart Failure and Transplant Cardiology Physician provider in Atlanta, GA (NPI 1205256609).
Provider details
- NPI number
- 1205256609
- Entity type
- Individual
- Primary specialty
- Advanced Heart Failure and Transplant Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MT205806 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
859 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 193 | $115 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 155 | $65 |
| Evaluation of Lower Heart Chamber Assist Device93750 | 119 | $39 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 66 | $120 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 53 | $160 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 43 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Spironolactone | 184 | 76 |
| Sacubitril/Valsartanbrand: Entresto | 122 | 39 |
| Torsemide | 113 | 57 |
| Empagliflozinbrand: Jardiance | 98 | 21 |
| Metoprolol Succinate | 84 | 36 |
| Gabapentin | 80 | 23 |
| Pantoprazole Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$26 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (5)
- 800 Washington StBoston, MA 02111-1552Phone: (617) 636-2273
- 55 Fruit StBoston, MA 02114-2621Phone: (617) 724-5000
- 789 Central AveDover, NH 03820-2526Phone: (603) 610-8070Fax: (603) 610-8071
- 67 Corporate Dr Ste 200Portsmouth, NH 03801-2847Phone: (603) 610-8070Fax: (603) 610-8071
- 3400 Spruce St100 CentrexPhiladelphia, PA 19104-4238Phone: (215) 662-2200
Registry dates
- Enumerated
- 2014-04-24
- Last updated
- 2022-09-08
- Certified
- 2022-09-08
Frequently asked questions
- What is Nilay Sutaria's NPI number?
- Nilay Sutaria's National Provider Identifier (NPI) is 1205256609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nilay Sutaria's specialty?
- Nilay Sutaria is listed in the NPPES registry with a primary specialty of Advanced Heart Failure and Transplant Cardiology Physician (Allopathic & Osteopathic Physicians).
- Where is Nilay Sutaria located?
- Nilay Sutaria's practice location on file with NPPES is 1364 Clifton Rd Ne, Atlanta, GA 30322-2621.
- What is Nilay Sutaria's phone number?
- The practice phone number listed in the NPPES registry for Nilay Sutaria is (404) 712-2000.
- Does Nilay Sutaria accept Medicare?
- Nilay Sutaria is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nilay Sutaria's NPI active?
- Yes — Nilay Sutaria's NPI (1205256609) is active in the NPPES registry as of the last update on 2022-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.