NPIMap

Individual provider Active NPI

Jason D Sutherland, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Denver, CO
National Provider Identifier
1114975885
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
31997 Issued in CO
Practice address
910 15TH St
Ste 400
Denver, CO 80202-2912
Phone
(303) 788-6130
Fax
(303) 788-4996
NPI assigned
May 5, 2006
Last updated
Sep 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 31997 CO Primary

Addresses

Primary practice location

910 15TH St
Ste 400
Denver, CO 80202-2912

Mailing address

PO Box 30309
Charleston, SC 29417-0309
Phone (843) 554-9300

Other identifiers 1

IdentifierTypeStateIssuer
01319979MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031217000276 CO Practitioner - Pathology 2264339365 Reassigns benefits to 1 organization
I20220221000346 WY Practitioner - Pathology 2264339365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit PathologyGroup PAC ID 3971595968, shared by 4 NPIs, 27 clinicians

Practice addresses (Care Compare)

2301 House Ave
Suite 108
Cheyenne, WY 82001-3177
Phone (970) 212-0530

5802 Wright Dr
Loveland, CO 80538-8806
Phone (970) 212-0530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
74.56
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31997COMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Pathology Anatomic Pathology & Clinical Pathology Current Accepting new patients
Summit Pathology Current Accepting new patients
Summit Pathology Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2022 Accepting new patients
Summit Pathology Anatomic Pathology & Clinical Pathology CurrentSince Sep 13, 2021 Accepting new patients
Summit Pathology Anatomic Pathology & Clinical Pathology Past Accepting new patients
Summit Pathology Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

2500 Rocky Mountain Ave
Ste 200
Loveland, CO 80538
Phone (970) 297-6425

5802 Wright Dr
Loveland, CO 80538
Phone (800) 927-6227

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

2301 House Ave
Cheyenne, WY 82001
Phone (307) 632-9261

2301 House Ave
Ste 105
Cheyenne, WY 82001
Phone (307) 634-9238

2301 House Ave
Ste 108
Cheyenne, WY 82001
Phone (307) 274-3057

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

Organizations & group practices 6

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.

Hospital & facility affiliations 31

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1114975885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30309",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294170309",
            "telephone_number": "843-554-9300",
            "fax_number": "843-566-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 15TH ST",
            "address_2": "STE 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022912",
            "telephone_number": "303-788-6130",
            "fax_number": "303-788-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "JASON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "31997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01319979",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.