Active NPI
Loretta Sutphin, M.D.
- Family Medicine Physician
- Fulton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D77132
- Practice address
- 8115 Maple Lawn Blvd Ste 140
Fulton, MD 20759 - Phone
- (240) 459-1800
- NPI assigned
- Dec 5, 2006
- Last updated
- Jan 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- 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
- 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, Inc
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C54030 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Family Medicine | Current | 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
- 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.
-
dba JHCP - 195 Thomas Johnson Drive
- Family Medicine Physician
- Baltimore, MD
- NPI 1770518003
-
dba JHCP- 6225 Smith Avenue; Mental Health Therapy
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1255359972
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba City of Austin Office of Chief Medical Officer
- Emergency Medical Services (Emergency Medicine) Physician
- Austin, TX
- NPI 1083245070
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.