Active NPI
Sean Sutphen, DO
- Family Medicine Physician
- Le Mars, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102207523
- Practice address
- 714 Lincoln St NE
Le Mars, IA 51031-3311 - Phone
- (712) 546-3677
- Fax
- (712) 546-3690
- NPI assigned
- Apr 24, 2020
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102207523 | VA | Primary |
Addresses
Primary practice location
714 Lincoln St NE
Le Mars, IA 51031-3311
Mailing address
209 4TH Ave NW
Le Mars, IA 51031-3136
Phone (703) 939-1207
Other practice location 1
607 E Jubal Early Dr
Winchester, VA 22601-5178
Phone (540) 536-2232
Other practice location 2
160 Merchant St Ste 200
Winchester, VA 22603-4772
Phone (540) 536-5950
Other practice location 3
65 Riverton Commons Dr
Front Royal, VA 22630-6768
Phone (154) 063-5070
Other practice location 4
415A South St
Front Royal, VA 22630-2115
Phone (540) 636-0495
Other practice location 5
33820 Old Valley Pike Ste 2
Strasburg, VA 22657-3793
Phone (540) 459-1310
Other practice location 6
5301 Main St
Mount Jackson, VA 22842-9649
Phone (540) 459-1250
Electronic endpoints 6
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ssutphen701633@soc.inova.org | ||
| Direct Messaging Address | ssutphen701633@soc.inova.org | ||
| Direct Messaging Address | ssutphen701633@soc.inova.org | ||
| Direct Messaging Address | ssutphen701633@soc.inova.org | ||
| Direct Messaging Address | ssutphen701633@soc.inova.org | ||
| Direct Messaging Address | ssutphen701633@soc.inova.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231009000277 | VA | Practitioner - Family Practice | 5092137703 | Reassigns benefits to 1 organization |
| I20231219003820 | IA | Practitioner - Family Practice | 5092137703 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Floyd Valley Healthcare
Practice addresses (Care Compare)
714 Lincoln St NE
Le Mars, IA 51031-3314
Phone (712) 546-3338
Hospital & facility affiliations
- Floyd Valley Hospital Community Health Services
- St Croix Hospice
- Floyd Valley Healthcare
- St Lukes Regional Medical Center
- Good Samaritan - Lemars
- Floyd Valley Healthcare
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd Valley Healthcare | Family Medicine | Current | Accepting new patients |
| Floyd Valley Healthcare | Current | Accepting new patients | |
| Valley Regional Enterprises, Inc | Current | Accepting new patients | |
| Floyd Valley Healthcare | Current | Accepting new patients | |
| Floyd Valley Healthcare | Current | Accepting new patients | |
| Floyd Valley Healthcare | Current | Accepting new patients | |
| Front Royal Family Practice, P.C. | Family Medicine | Past | Accepting new patients |
| Valley Regional Enterprises, Inc | Past | Accepting new patients | |
| Sentara RMH Medical Center | Past | Accepting new patients |
Locations
714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338
415A South St
Front Royal, VA 22630
Phone (540) 636-0495
65 Riverton Commons Dr
Front Royal, VA 22630
Phone (540) 635-0700
5301 Main St
Mount Jackson, VA 22842
Phone (540) 459-1250
33820 Old Valley Pike
Ste 2
Strasburg, VA 22657
Phone (540) 459-1310
160 Merchant St
#200
Winchester, VA 22603
Phone (540) 536-5950
607 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-2232
Interoperability endpoints
- sean.sutphen@avera.sdhealthlink.net
- ssutphen701633@valleyhealth.direct-ci.com
Organizations & group practices 10
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.
-
- Community/Retail Pharmacy
- Le Mars, IA
- NPI 1710765433
-
- Home Health Agency
- Le Mars, IA
- NPI 1558423632
-
- Family Medicine Physician
- Front Royal, VA
- NPI 1750434072
Family Medicine
-
- General Practice Physician
- Harrisonburg, VA
- NPI 1417027608
-
- Urgent Care Clinic/Center
- Strasburg, VA
- NPI 1063666196
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Le Mars, IA
- NPI 1104988294
Nursing home
-
- Home Health Agency
- Le Mars, IA
- NPI 1558423632
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
Hospital
-
- Skilled Nursing Facility
- Le Mars, IA
- NPI 1336139906
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1124648696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 4TH AVE NW",
"city": "LE MARS",
"state": "IA",
"postal_code": "510313136",
"telephone_number": "703-939-1207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 LINCOLN ST NE",
"city": "LE MARS",
"state": "IA",
"postal_code": "510313311",
"telephone_number": "712-546-3677",
"fax_number": "712-546-3690"
}
],
"practiceLocations": [
{
"address_1": "607 E Jubal Early Dr",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "VA",
"postal_code": "226015178",
"country_code": "US",
"telephone_number": "540-536-2232",
"fax_number": "540-536-2206",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "160 Merchant St Ste 200",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "VA",
"postal_code": "226034772",
"country_code": "US",
"telephone_number": "540-536-5950",
"fax_number": "540-536-5955",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "65 Riverton Commons Dr",
"address_purpose": "LOCATION",
"city": "Front Royal",
"state": "VA",
"postal_code": "226306768",
"country_code": "US",
"telephone_number": "154-063-5070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415A South St",
"address_purpose": "LOCATION",
"city": "Front Royal",
"state": "VA",
"postal_code": "226302115",
"country_code": "US",
"telephone_number": "540-636-0495",
"fax_number": "540-636-0450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "33820 Old Valley Pike Ste 2",
"address_purpose": "LOCATION",
"city": "Strasburg",
"state": "VA",
"postal_code": "226573793",
"country_code": "US",
"telephone_number": "540-459-1310",
"fax_number": "540-459-1311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5301 Main St",
"address_purpose": "LOCATION",
"city": "Mount Jackson",
"state": "VA",
"postal_code": "228429649",
"country_code": "US",
"telephone_number": "540-459-1250",
"fax_number": "540-459-1251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTPHEN",
"first_name": "SEAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-24",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102207523",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssutphen701633@soc.inova.org",
"affiliation": "N",
"address_1": "65 Riverton Commons Dr",
"city": "Front Royal",
"state": "VA",
"country_code": "US",
"postal_code": "226306768",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssutphen701633@soc.inova.org",
"affiliation": "N",
"address_1": "607 E Jubal Early Dr",
"city": "Winchester",
"state": "VA",
"country_code": "US",
"postal_code": "226015178",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssutphen701633@soc.inova.org",
"affiliation": "N",
"address_1": "415A South St",
"city": "Front Royal",
"state": "VA",
"country_code": "US",
"postal_code": "226302115",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssutphen701633@soc.inova.org",
"affiliation": "N",
"address_1": "5301 Main St",
"city": "Mount Jackson",
"state": "VA",
"country_code": "US",
"postal_code": "228429649",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssutphen701633@soc.inova.org",
"affiliation": "N",
"address_1": "33820 Old Valley Pike Ste 2",
"city": "Strasburg",
"state": "VA",
"country_code": "US",
"postal_code": "226573793",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssutphen701633@soc.inova.org",
"affiliation": "N",
"address_1": "160 Merchant St Ste 200",
"city": "Winchester",
"state": "VA",
"country_code": "US",
"postal_code": "226034772",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Le Mars, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.