Active NPI
Kent Sutterer, DO
- Family Medicine Physician
- Saint Charles, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2002015981
- Practice address
- 300 1St Capitol Dr
Saint Charles, MO 63301-2844 - Phone
- (636) 947-5000
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2002015981 | MO | Primary |
| Emergency Medicine Physician | 207P00000X | 2002015981 | MO |
Addresses
Primary practice location
300 1St Capitol Dr
Saint Charles, MO 63301-2844
Mailing address
3817 Indian Ridge LN
Defiance, MO 63341-2026
Phone (417) 483-7762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114964514 | Medicaid | MO |
Other names 1
- Dr. Kent Steven Sutterer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of North Texas HSC, College of Osteopathic Med, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000
Hospital & facility affiliations
- SSM St Joseph Health Center
- Progress West Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Services Midwest SC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| HSHS Holy Family Hospital Inc | Past | Accepting new patients | |
| Physicians Medical Clinic, LLC | Family Medicine | Past | Accepting new patients |
| Sjmgroup | Past | Accepting new patients | |
| Skaggs Community Hospital Association | Emergency Medicine | Past | Accepting new patients |
| Red Bud Physician Group LLC | Emergency Medicine | Past | Accepting new patients |
| Cep America - California | Emergency Medicine | Past | Accepting new patients |
| Red Bud Illinois Hospital Company, LLC | Family Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
Interoperability endpoints
- ksutterer43556@direct-ehr-ssmhc.com
Organizations & group practices 12
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
- Saint Louis, MO
- NPI 1619332046
-
- Emergency Medicine Physician
- Belleville, IL
- NPI 1174024806
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
MO
-
- Emergency Medicine Physician
- Bridgeton, MO
- NPI 1851946370
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Family Medicine Physician
- Joplin, MO
- NPI 1114242914
-
- Emergency Medicine Physician
- Branson, MO
- NPI 1073686879
-
- Emergency Medicine Physician
- Pomona, CA
- NPI 1740235258
-
- General Acute Care Hospital
- Greenville, IL
- NPI 1205850690
-
- Family Medicine Physician
- Red Bud, IL
- NPI 1740387042
-
- Emergency Medicine Physician
- Red Bud, IL
- NPI 1053619148
-
- Endocrinology, Diabetes & Metabolism Physician
- Englewood, CO
- NPI 1376590034
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- O Fallon, MO
- NPI 1508938044
-
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1114964574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3817 INDIAN RIDGE LN",
"city": "DEFIANCE",
"state": "MO",
"postal_code": "633412026",
"telephone_number": "417-483-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 1ST CAPITOL DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012844",
"telephone_number": "636-947-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTERER",
"first_name": "KENT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2002015981",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2002015981",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114964514",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KENT",
"last_name": "SUTTERER",
"middle_name": "STEVEN",
"prefix": "DR.",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.