NPIMap

Individual provider Active NPI

John Sutherland, MD

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1073837837
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
16392 Issued in NV
Practice address
2040 W Charleston Blvd
Las Vegas, NV 89102-2227
Phone
(775) 328-1429
NPI assigned
Mar 23, 2010
Last updated
May 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X 16392 NV Primary

Addresses

Primary practice location

2040 W Charleston Blvd
Las Vegas, NV 89102-2227

Mailing address

2040 W Charleston Blvd
Las Vegas, NV 89102-2227
Phone (775) 328-1429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160708000330 NV Practitioner - Diagnostic Radiology 6800109703 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Nevada School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Marys Medical Group IncGroup PAC ID 7618113523, 52 clinicians
Radiology Consultants LTDGroup PAC ID 9032195128, 35 clinicians

Practice addresses (Care Compare)

18653 Wedge Pkwy
Suite 110
Reno, NV 89511-3007
Phone (775) 770-3327

235 W 6TH St
Reno, NV 89503-4548
Phone (775) 770-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.85 of 100Reported as group
Quality
96.3
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Marys Urgent Care LLC Current Accepting new patients
Saint Mary's Medical Group Inc CurrentSince Jun 1, 2016 Accepting new patients
Saint Marys Medical Group Inc. Diagnostic Radiology Current Accepting new patients
John a Shields MD and Steven a Schiff MD a Professional Corporation CurrentSince Mar 1, 2026 Accepting new patients
Regents of the University of California Past Accepting new patients
Kettering Network Radiologists Inc Diagnostic Radiology Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

5423 Reno Corporate Dr
Reno, NV 89511
Phone (775) 329-0873

6255 Sharlands Ave
Reno, NV 89523
Phone (775) 245-6117

645 N Arlington Ave
Ste 250
Reno, NV 89503
Phone (775) 770-3187

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: john.sutherlandmd.p1@direct.smmg.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1073837837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022227",
            "telephone_number": "775-328-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022227",
            "telephone_number": "775-328-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-23",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "16392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.