Individual provider Active NPI

Loretta Sutphin, M.D.

  • Family Medicine Physician
  • Fulton, MD
National Provider Identifier
1144388729
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D77132 Issued in MD
Practice address
8115 Maple Lawn Blvd Ste 140
Fulton, MD 20759
Phone
(240) 459-1800
NPI assigned
Dec 5, 2006
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036110655 IL
Family Medicine Physician 207Q00000X C54030 CA
Family Medicine Physician 207Q00000X D77132 MD Primary

Addresses

Primary practice location

8115 Maple Lawn Blvd Ste 140
Fulton, MD 20759

Mailing address

6201 Greenleigh Ave
Baltimore, MD 21220-2004

Other practice location 1

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (760) 631-5000 ext. 6114

Other practice location 2

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (760) 631-5000 ext. 6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20190204000095 MD Practitioner - Family Practice 9234130238 Reassigns benefits to 2 organizations
I20190204000195 DC Practitioner - Family Practice 9234130238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Duke University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johns Hopkins Community Physicians, IncGroup PAC ID 8325943707, shared by 7 NPIs, 764 clinicians

Practice addresses (Care Compare)

1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800

103 Bata Blvd a
Belcamp, MD 21017-1420
Phone (410) 575-6611

137 Mitchells Chance Rd
Suite 180
Edgewater, MD 21037-2793
Phone (410) 224-8220

14207 Park Ctr Dr
Suite 102
Laurel, MD 20707-5255
Phone (301) 604-5254

14955 Shady Grove Rd
Suite 100
Rockville, MD 20850-8728
Phone (301) 990-3190

1501 S Clinton St
Suite 200
Baltimore, MD 21224-5748
Phone (410) 522-9940

17001 Science Dr
Suite 102
Bowie, MD 20715-4330
Phone (240) 556-1000

20500 Seneca Meadows Pkwy
Suite 2400
Germantown, MD 20876-7014
Phone (240) 912-2738

410 Malcolm Dr C
Westminster, MD 21157-6160
Phone (410) 857-2300

4224 Altamont PL
Suite 201
White Plains, MD 20695-3052
Phone (240) 607-1500

45 Thomas Johnson Dr
Frederick, MD 21702-4425

4924 Campbell Blvd
Suite 200
Baltimore, MD 21236-5914
Phone (443) 442-2300

5010 Regency PL
White Plains, MD 20695-3088
Phone (240) 607-1500

6000 Executive Blvd
Suite 625
North Bethesda, MD 20852-3877
Phone (240) 314-7080

6225 Smith Ave
Baltimore, MD 21209-3626
Phone (667) 208-8855

6350 Stevens Forest Rd
Columbia, MD 21046-3240
Phone (443) 259-3770

7315 Wisconsin Ave
Suite 700
Bethesda, MD 20814-3202
Phone (240) 235-9100

7671 Quarterfield Rd
Suite 401
Glen Burnie, MD 21061-4981
Phone (443) 270-6760

8115 Maple Lawn Blvd
Suite 140
Fulton, MD 20759-2681
Phone (240) 459-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
80.47
Promoting interoperability
100
Improvement activities
40
Cost
76.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C54030CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc CurrentSince Jan 7, 2019 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Jan 7, 2019 Accepting new patients
Johns Hopkins Community Physicians, Inc Current Accepting new patients
Johns Hopkins Community Physicians, Inc Family Medicine CurrentSince Jan 7, 2019 Accepting new patients
City of Austin Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

8115 Maple Lawn Blvd
Ste 140
Fulton, MD 20759
Phone (240) 459-1800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

4224 Altamont PL Ste 201
Ste 201
White Plains, MD 20695
Phone (240) 607-1500

Interoperability endpoints

  • Direct secure messaging: lstenzel497831@direct.hopkinsmedicine.org

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 1

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1144388729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212202004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 MAPLE LAWN BLVD STE 140",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "20759",
            "telephone_number": "240-459-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Vale Terrace Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920845218",
            "country_code": "US",
            "telephone_number": "760-631-5000 x6114",
            "fax_number": "760-414-3710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Vale Terrace Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920845218",
            "country_code": "US",
            "telephone_number": "760-631-5000 x6114",
            "fax_number": "760-414-3710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTPHIN",
        "first_name": "LORETTA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036110655",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C54030",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D77132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MD

Sources for this page

Verify at the official NPI Registry.