NPIMap

Individual provider Active NPI

Timothy K Suttle, M.D.

  • Urology Physician
  • Reno, NV
National Provider Identifier
1093039976
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
21361 Issued in NV
Practice address
5560 Kietzke LN BLDG a
Reno, NV 89511-3019
Phone
(775) 322-7811
Fax
(775) 322-1431
NPI assigned
Mar 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35128478 OH
Urology Physician 208800000X 21361 NV Primary

Addresses

Primary practice location

5560 Kietzke LN BLDG a
Reno, NV 89511-3019

Mailing address

5560 Kietzke LN BLDG a
Reno, NV 89511-3019
Phone (775) 322-7811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, NV3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160819000953 OH Practitioner - Urology 6103121884 Reassigns benefits to 1 organization
I20160912000538 MI Practitioner - Urology 6103121884 Reassigns benefits to 1 organization
I20210913001290 NV Practitioner - Urology 6103121884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Toledo College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Plumas District HospitalGroup PAC ID 8224930466, shared by 4 NPIs, 40 clinicians
Urology Nevada LTDGroup PAC ID 1557460557, 24 clinicians

Practice addresses (Care Compare)

1065 Bucks Lake Rd
Quincy, CA 95971-9507
Phone (530) 283-2121

5560 Kietzke LN
BLDG a
Reno, NV 89511-3019
Phone (775) 322-7811

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Saint Mary'S Regional Medical Center Hospital, Reno, NV, CCN 290009
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
  • Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21361NVMDUrology Physician
35128478OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Genito-Urinary Surgeons LLC Urology CurrentSince Aug 1, 2016 Accepting new patients
Urology Nevada LTD Urology CurrentSince Oct 1, 2021 Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

905 N Macomb St
Ste 5
Monroe, MI 48162
Phone (734) 243-9620

5560 Kietzke Ln
Bldg A
Reno, NV 89511
Phone (775) 322-7811

5560 Kietzke Ln
Reno, NV 89511
Phone (775) 284-1612

10745 Double R Blvd
Reno, NV 89521
Phone (775) 322-7811

5070 Ion Dr
Ste 201
Sparks, NV 89436
Phone (775) 322-7811

1250 Ralston Ave
Ste 203
Defiance, OH 43512
Phone (419) 783-6915

2120 W Central Ave
Toledo, OH 43606
Phone (419) 531-8558

Interoperability endpoints

  • Direct secure messaging: timothy.suttle.1@19482.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19482/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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

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": "1269043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1093039976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN BLDG A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113019",
            "telephone_number": "775-322-7811",
            "fax_number": "775-322-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN BLDG A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113019",
            "telephone_number": "775-322-7811",
            "fax_number": "775-322-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTLE",
        "first_name": "TIMOTHY",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-20",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35128478",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NV",
            "license": "21361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.