Active NPI
Michael Robert Sutton, M.D.
- Diagnostic Radiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01073199A
- 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
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 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, GA
- 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
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Union General Hospital
- Tift Regional Medical Center
- Wayne Memorial Hospital
- Chatuge Regional Hospital
- Bacon County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.06 of 100
- Quality
- 92.11
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01073199A | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Marys Health Inc | Single Specialty | Current | Accepting new patients |
| St. Mary'S Health, Inc | Current | Accepting new patients | |
| Sterling Radiology LLC | Single Specialty | Current | Accepting new patients |
| Southern Indiana Imaging Consultants P C | Single Specialty | Current | Accepting new patients |
| Bca Georgia, LLC | Current | Accepting new patients | |
| Indiana University Radiology Associates, Inc. | Single Specialty | Current | Accepting new patients |
| South Georgia Radiology Associates, LLC | Single Specialty | Current | Accepting new patients |
| St. Mary'S Health, Inc | Current | 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 | Past | 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.
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1760669931
IN, Single Specialty
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
Single Specialty
-
- Diagnostic Radiology Physician
- Evansville, IN
- NPI 1972598886
Single Specialty
-
- Physiological Laboratory
- Evansville, IN
- NPI 1851842496
-
- Hematology & Oncology Physician
- Newburgh, IN
- NPI 1952101214
-
- Radiology Clinic/Center
- Milledgeville, GA
- NPI 1679294227
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Newburgh, IN
- NPI 1215332309
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Single Specialty
-
- Physical Therapist
- Louisville, KY
- NPI 1487298113
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1588135917
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Alma, GA
- NPI 1629185285
-
- Critical Access Hospital
- Hiawassee, GA
- NPI 1326028978
-
- General Acute Care Hospital
- Jesup, GA
- NPI 1770578999
-
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
-
- General Acute Care Hospital
- Blairsville, GA
- NPI 1487684122
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.