Active NPI
Kristopher Ryan Sutherly, MD
- Emergency Medicine Physician
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- Q7971
- Practice address
- 600 Elizabeth St
Corpus Christi, TX 78404-2235 - Phone
- (361) 902-4100
- NPI assigned
- May 27, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Q7971 | TX | Primary |
Addresses
Primary practice location
600 Elizabeth St
Corpus Christi, TX 78404-2235
Mailing address
312 Peerman PL
Corpus Christi, TX 78411-1610
Phone (813) 362-8646
Other practice location 1
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Phone (210) 671-6557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160620000643 | TX | Practitioner - Emergency Medicine | 8224279518 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- East Tennessee State University Quillen College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone (361) 985-5000
Hospital & facility affiliations
- Christus Spohn Hospital Corpus Christi
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Jefferson Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Conner Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| Jefferson Emergency Medicine Associates PA | Emergency Medicine | Current | Accepting new patients |
| Bexar Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Guadalupe Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| Nueces Emergency Medicine Associates PA | Emergency Medicine | Current | Accepting new patients |
| Fastpass Ucdfw, PLLC | Past | Accepting new patients | |
| Christus Spohn Health System Corporation | Past | Accepting new patients |
Locations
2500 E Main St
Alice, TX 78332
Phone (361) 664-4376
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000
2606 Hospital Blvd
Corpus Christi, TX 78405
Phone (361) 902-4151
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445
600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511
1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661
8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214
11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066
11130 Christus Hls
Ste 119
San Antonio, TX 78251
Phone (210) 703-9800
1434 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 686-8000
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Alice, TX
- NPI 1972286920
Emergency Medicine, TX
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1548034994
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Corpus Christi, TX
- NPI 1013415934
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Alice, TX
- NPI 1114425220
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Beaumont, TX
- NPI 1609559699
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Corpus Christi, TX
- NPI 1215314364
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Beaumont, TX
- NPI 1497966949
Emergency Medicine
-
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1689641680
-
- Community/Retail Pharmacy
- DFW Airport, TX
- NPI 1497271589
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1689641680
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712966400000",
"number": "1114246303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 PEERMAN PL",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784111610",
"telephone_number": "813-362-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ELIZABETH ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784042235",
"telephone_number": "361-902-4100"
}
],
"practiceLocations": [
{
"address_1": "1100 Wilford Hall Loop",
"address_purpose": "LOCATION",
"city": "Jbsa Lackland",
"state": "TX",
"postal_code": "782365638",
"country_code": "US",
"telephone_number": "210-671-6557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTHERLY",
"first_name": "KRISTOPHER",
"middle_name": "RYAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-27",
"last_updated": "2024-04-13",
"certification_date": "2024-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "Q7971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2024; 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.