Organization Active NPI

Michael D Suter MD LLC

  • Internal Medicine Physician
  • Parkville, MD
National Provider Identifier
1043492556
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0044604 Issued in MD
Legal business name
MICHAEL D SUTER MD LLC
Practice address
8109 Harford Rd
Suite E
Parkville, MD 21234-9205
Phone
(410) 665-4403
Fax
(410) 661-5087
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael David Suter, MDNPI 1043283674
Title
Physician
Phone
(410) 665-4403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0044604 MD Primary

Addresses

Primary practice location

8109 Harford Rd
Suite E
Parkville, MD 21234-9205

Mailing address

8109 Harford Rd
Suite E
Parkville, MD 21234-9205
Phone (410) 665-4403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051026000702 MD Part B Supplier - Clinic/Group Practice 0840217147 Receives reassigned benefits from 1 practitioner
Practice locations: Parkville, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1043371Michael Suter MD LLC8109 Harford Road Ste E, Parkville, MD 21234Certificate of waiverJul 21, 2027

National Provider Directory

National Provider Directory

Locations

8109 Harford Rd
Ste E
Parkville, MD 21234
Phone (410) 665-4403

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1043492556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 HARFORD RD",
            "address_2": "SUITE E",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212349205",
            "telephone_number": "410-665-4403",
            "fax_number": "410-661-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 HARFORD RD",
            "address_2": "SUITE E",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212349205",
            "telephone_number": "410-665-4403",
            "fax_number": "410-661-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D SUTER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "SUTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-665-4403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0044604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.