Active NPI
Ryan Sutherland, MD
- Diagnostic Radiology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 1020017
- Practice address
- 55 Lake Ave North
Worcester, MA 01655-0002 - Phone
- (508) 334-3850
- NPI assigned
- Apr 4, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 1020017 | MA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | D85885 | MD |
Addresses
Primary practice location
55 Lake Ave North
Worcester, MA 01655-0002
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
22 S Greene St
Dept of Radiology
Baltimore, MD 21201-1544
Phone (410) 328-3477
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008656800 | Medicaid | MD | |
| 039918288 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Florida State University College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
West Friendship, MD 21794
Phone (508) 334-3850
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5700
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
- Umass Memorial Medical Center/University Campus
- University of Maryland Medical Center
- Umass Memorial Healthalliance Hospitals
- Umass Memorial Health - Harrington Hospital
- Marlborough Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Diagnostic Imaging Specialists P a | Diagnostic Radiology | Current | Accepting new patients |
| University of Maryland Diagnostic Imaging Specialists P a | Diagnostic Radiology | Current | Accepting new patients |
| Umass Memorial Medical Group Inc | Current | Accepting new patients | |
| University of Maryland Diagnostic Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Imaging Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| University Imaging Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Umass Memorial Radiology Phys Serv | Diagnostic Radiology | Current | Accepting new patients |
| University of Maryland Diagnostic Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
14 Prospect St
Milford, MA 01757
Phone (508) 422-2343
340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600
10 Little Brook Rd
West Wareham, MA 02576
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196
5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000
5 N La Plata Ct
Ste 104
La Plata, MD 20646
Phone (301) 539-0345
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.
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1154335487
DC
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1245245307
-
- Diagnostic Radiology Physician
- La Plata, MD
- NPI 1467996959
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1992511265
-
- Diagnostic Radiology Physician
- Largo, MD
- NPI 1619783974
-
- Diagnostic Radiology Physician
- Glen Burnie, MD
- NPI 1548803257
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southbridge, MA
- NPI 1790780047
-
- General Acute Care Hospital
- Leominster, MA
- NPI 1013995133
-
- Psychiatric Hospital Unit
- Clinton, MA
- NPI 1285171934
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1114380433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348",
"telephone_number": "800-225-8885",
"fax_number": "508-334-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE NORTH",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "508-334-3850"
}
],
"practiceLocations": [
{
"address_1": "22 S Greene St",
"address_2": "DEPT OF RADIOLOGY",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011544",
"country_code": "US",
"telephone_number": "410-328-3477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTHERLAND",
"first_name": "RYAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-04",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "1020017",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D85885",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008656800",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039918288",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.