Active NPI
Rosanne L Sutter, MD
- Family Medicine Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-103098
- Practice address
- 211 S 3Rd St
Belleville, IL 62220-1915 - Phone
- (618) 234-2120
- NPI assigned
- Sep 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-103098 | IL | Primary |
Addresses
Primary practice location
211 S 3Rd St
Belleville, IL 62220-1915
Mailing address
PO Box 8882
Fort Worth, TX 76124-0882
Phone (817) 451-4208
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036103098 | Medicaid | IL | |
| 08232204 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
325 Spring St
Red Bud, IL 62278-1105
Phone (618) 939-2273
Hospital & facility affiliations
- Red Bud Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.51 of 100
- Quality
- 49.04
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 69.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-103098 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Clinic, Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Family Medicine | Current | Accepting new patients |
| Deaconess Illinois Red Bud Regional Hospital Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Illinois Red Bud Regional Hospital Inc | Current | Accepting new patients | |
| Deaconess Illinois Clinic, Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Illinois Clinic, Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Pamella S Gronemeyer | Past | Accepting new patients | |
| Midwest Emergency Services Inc | Past | Accepting new patients | |
| Mercy Hospital South | Past | Accepting new patients | |
| Midwest Emergency Department Services Inc | Past | Accepting new patients |
Locations
205 Bailey Ln
Benton, IL 62812
Phone (618) 435-8189
1000 Eleven S
Columbia, IL 62236
Phone (618) 281-7010
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
325 Spring St
Redbud, IL 62278
Phone (618) 282-5165
818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177
509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939
Interoperability endpoints
- rosanne.sutter.1@27782.direct.athenahealth.com
- rsutte01@yourcarecommunity.org
Organizations & group practices 11
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.
-
- Surgery Physician
- Marion, IL
- NPI 1972210235
Family Medicine
-
- Family Medicine Physician
- Columbia, IL
- NPI 1962128256
-
- Rural Health Clinic/Center
- Red Bud, IL
- NPI 1619693926
Family Medicine
-
- Family Medicine Physician
- Marion, IL
- NPI 1326765090
-
- Family Medicine Physician
- Carterville, IL
- NPI 1326836206
-
- Critical Access Hospital
- Red Bud, IL
- NPI 1407573132
-
- Hospitalist Physician
- Anna, IL
- NPI 1225858251
-
- Emergency Medicine Physician
- Belleville, IL
- NPI 1801843974
-
- Emergency Medicine Physician
- Maryville, IL
- NPI 1841246956
-
- Clinical Medical Laboratory
- Highland, IL
- NPI 1194874966
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Red Bud, IL
- NPI 1407573132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1154422673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8882",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761240882",
"telephone_number": "817-451-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S 3RD ST",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622201915",
"telephone_number": "618-234-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTER",
"first_name": "ROSANNE",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-103098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036103098",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08232204",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.