Individual provider Active NPI

Robert Neil Suter, D.O.

  • Family Medicine Physician
  • Garland, TX
National Provider Identifier
1114902517
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L5578 Issued in TX
Practice address
601 Clara Barton Blvd
Suite 340
Garland, TX 75042-5738
Phone
(469) 800-2260
Fax
(469) 800-2270
NPI assigned
Dec 8, 2005
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L5578 TX Primary
Sports Medicine (Family Medicine) Physician 207QS0010X L5578 TX

Addresses

Primary practice location

601 Clara Barton Blvd
Suite 340
Garland, TX 75042-5738

Mailing address

601 Clara Barton Blvd
Suite 340
Garland, TX 75042-5738
Phone (469) 800-2260

Other identifiers 2

IdentifierTypeStateIssuer
8CW469OtherTXBLUE CROSS
180363704MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rsuter222313@direct.sw.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000641 TX Practitioner - Family PracticePractitioner - Sports Medicine 9638108046 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 1, 2018 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Shawn a Hayden MD PA Past Accepting new patients
CD Urgent Care Center 5, PLLC Past Accepting new patients
Paul Phillips III, M.D., P.a. Past Accepting new patients
University of North Texas Health Science Center at Fort Worth Family Medicine Past Accepting new patients
Physician Associates of Southwest Dallas Family Medicine Past Accepting new patients
University of North Texas Health Science Center at Fort Worth Family Medicine Past Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648

4401 Coit Rd
Ste 409
Frisco, TX 75035
Phone (469) 800-4130

601 Clara Barton Blvd
Ste 340
Garland, TX 75042
Phone (469) 800-2260

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: rsuter222313@direct.sw.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1114902517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CLARA BARTON BLVD",
            "address_2": "SUITE 340",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425738",
            "telephone_number": "469-800-2260",
            "fax_number": "469-800-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CLARA BARTON BLVD",
            "address_2": "SUITE 340",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425738",
            "telephone_number": "469-800-2260",
            "fax_number": "469-800-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTER",
        "first_name": "ROBERT",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5578",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "L5578",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8CW469",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180363704",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsuter222313@direct.sw.org",
            "affiliation": "N",
            "address_1": "4401 Coit Rd Ste 409",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750350519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.