Individual provider Active NPI

Michael Robert Sutton, M.D.

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1134488497
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01073199A Issued in IN
Practice address
1633 N Capitol Ave
Suite 640
Indianapolis, IN 46202-1261
Phone
(317) 962-8881
NPI assigned
May 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X 01073199A IN Primary

Addresses

Primary practice location

1633 N Capitol Ave
Suite 640
Indianapolis, IN 46202-1261

Mailing address

1633 N Capitol Ave
Suite 640
Indianapolis, IN 46202-1261
Phone (317) 962-8881

Other practice location 1

4199 Gateway Blvd
Newburgh, IN 47630-8940
Phone (812) 842-4200

Other practice location 2

3700 Washington Ave
Evansville, IN 47714-0541
Phone (812) 485-4000

Other practice location 3

400 SE 4th St
Evansville, IN 47713-1206
Phone (812) 421-4370

Other practice location 4

1116 Millis Ave
Boonville, IN 47601-2204
Phone (812) 897-4800

Other practice location 5

1808 Sherman Dr
Princeton, IN 47670-1043
Phone (812) 385-9248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170525001214 IN Practitioner - Diagnostic Radiology 9931344488 Reassigns benefits to 4 organizations
I20250508000680 GA Practitioner - Diagnostic Radiology 9931344488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Radiology Associates LLCGroup PAC ID 0042389231, 32 clinicians
Sterling Radiology LLCGroup PAC ID 1254705338, 16 clinicians

Practice addresses (Care Compare)

117 Kite Rd
Swainsboro, GA 30401-3231
Phone (888) 545-5551

2701 Pinewood CT
Evansville, IN 47712-9519
Phone (912) 225-0938

3131 S Main St
Moultrie, GA 31768-6925
Phone (229) 890-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.06 of 100Reported as group
Quality
92.11
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01073199AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Health Inc Single Specialty CurrentSince Nov 1, 2019 Accepting new patients
St. Mary'S Health, Inc CurrentSince Aug 22, 2018 Accepting new patients
Sterling Radiology LLC Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Southern Indiana Imaging Consultants P C Single Specialty CurrentSince Jul 20, 2017 Accepting new patients
Bca Georgia, LLC CurrentSince Feb 19, 2025 Accepting new patients
Indiana University Radiology Associates, Inc. Single Specialty CurrentSince Jul 1, 2017 Accepting new patients
South Georgia Radiology Associates, LLC Single Specialty CurrentSince Feb 19, 2025 Accepting new patients
St. Mary'S Health, Inc CurrentSince Nov 1, 2019 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Single Specialty Past Accepting new patients
Kleinert Kutz and Associates Hand Care Center Past Accepting new patients
St. Mary'S Health, Inc. Past Accepting new patients
Kleinert Kutz and Associates Hand Care Center PastSince Nov 10, 2019 Accepting new patients

Locations (25 of 69)

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

172 Mj Taylor Rd
Adel, GA 31620
Phone (229) 896-3424

2822 Nottingham Way
Ste 3
Albany, GA 31707
Phone (229) 304-5261

611 E Washington Ave
Ashburn, GA 31714
Phone (229) 537-3407

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

100 Highway 18 W
Barnesville, GA 30204
Phone (770) 358-0674

277 Lackawanna St
Baxley, GA 31513
Phone (912) 366-1362

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

950 S Main St
Ste 2
Baxley, GA 31513
Phone (912) 367-2596

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

19 Doctors Way
Ste A
Blairsville, GA 30512

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

200 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-6150

820 2nd Ave
Eastman, GA 31023
Phone (478) 374-5511

1120 Indian Dr
Eastman, GA 31023
Phone (478) 354-4220

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

88 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (419) 994-2521

101 Hartford Rd W
Ste 1
Fort Gaines, GA 39851
Phone (229) 210-2100

260 W Clinton St
Gray, GA 31032
Phone (478) 845-7462

138 N College St
Hamilton, GA 31811
Phone (478) 776-4000

209 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-3095

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134488497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 N CAPITOL AVE",
            "address_2": "SUITE 640",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021261",
            "telephone_number": "317-962-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 N CAPITOL AVE",
            "address_2": "SUITE 640",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021261",
            "telephone_number": "317-962-8881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4199 Gateway Blvd",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308940",
            "country_code": "US",
            "telephone_number": "812-842-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140541",
            "country_code": "US",
            "telephone_number": "812-485-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 SE 4th St",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477131206",
            "country_code": "US",
            "telephone_number": "812-421-4370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1116 Millis Ave",
            "address_purpose": "LOCATION",
            "city": "Boonville",
            "state": "IN",
            "postal_code": "476012204",
            "country_code": "US",
            "telephone_number": "812-897-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1808 Sherman Dr",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "IN",
            "postal_code": "476701043",
            "country_code": "US",
            "telephone_number": "812-385-9248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01073199A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.