Individual provider Active NPI

Catherine Anne Suppan, MD

  • Pediatrics Physician
  • Yarmouth Port, MA
National Provider Identifier
1164954186
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
282647 Issued in MA
Practice address
179 Route 6a
Yarmouth Port, MA 02675-1714
Phone
(508) 362-5727
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 282647 MA Primary

Addresses

Primary practice location

179 Route 6a
Yarmouth Port, MA 02675-1714

Mailing address

68B Route 6a
Sandwich, MA 02563-1864
Phone (508) 833-0269

Other practice location 1

68B Route 6A
Sandwich, MA 02563-1864
Phone (508) 833-0269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
282647MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Briarpatch Pediatrics Pediatrics CurrentSince Aug 2, 2020 Accepting new patients

Locations

40 Sherburne Cmns
Nantucket, MA 02554
Phone (508) 228-4080

179 Route 6A
Yarmouth Port, MA 02675
Phone (508) 362-5727

Interoperability endpoints

  • Direct secure messaging: csuppan19196@direct.chppoc.masshiway.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1164954186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68B ROUTE 6A",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025631864",
            "telephone_number": "508-833-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 ROUTE 6A",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751714",
            "telephone_number": "508-362-5727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68B Route 6A",
            "address_purpose": "LOCATION",
            "city": "Sandwich",
            "state": "MA",
            "postal_code": "025631864",
            "country_code": "US",
            "telephone_number": "508-833-0269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUPPAN",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "282647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth Port, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.