Active NPI
Bobbie Sutton, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 01052748
- Practice address
- 530 N. Lafayette Blvd
South Bend, IN 46601-1098 - Phone
- (574) 234-4176
- Fax
- (574) 234-1561
- NPI assigned
- Sep 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 01052748 | IN | Primary |
Addresses
Primary practice location
530 N. Lafayette Blvd
South Bend, IN 46601-1098
Mailing address
530 N. Lafayette Blvd
South Bend, IN 46601-1098
Phone (574) 234-4176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Indiana University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8231
1900 S Main St
Findlay, OH 45840-1214
Phone (419) 423-4500
Hospital & facility affiliations
- Blanchard Valley Hospital
- Southern Ohio Medical Center
- Bluffton Hospital
- Lutheran Hospital of Indiana
- The Orthopaedic Hospital of Lutheran Health Networ
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.5 of 100
- Quality
- 55
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.59 of 100
- Quality
- 59.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01052748 | IN | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Blanchard Valley Pathology & Lab Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500
1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Findlay, OH
- NPI 1952374977
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
-
dba Somc Radiology Associates
- Diagnostic Radiology Physician
- Portsmouth, OH
- NPI 1366686230
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
dba The Orthopaedic Hospital of Lutheran Health Network
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
-
dba Blanchard Valley Hospital
- General Acute Care Hospital
- Findlay, OH
- NPI 1710920327
-
dba Bluffton Hospital
- Critical Access Hospital
- Bluffton, OH
- NPI 1831137827
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1053342816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093807083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 N. LAFAYETTE BLVD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011098",
"telephone_number": "574-234-4176",
"fax_number": "574-234-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 N. LAFAYETTE BLVD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011098",
"telephone_number": "574-234-4176",
"fax_number": "574-234-1561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "BOBBIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IN",
"license": "01052748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.