Sutter Valley Medical Foundation
Organization Active NPI Diagnostic Radiology Physician · Las Vegas, NV
NPI 1174997407 · NPPES record last updated May 29, 2026
Key facts
- NPI
- 1174997407
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- SUTTER VALLEY MEDICAL FOUNDATION
- Practice address
- 2995 American River LN
Las Vegas, NV 89135-1713 - Phone
- (209) 521-6097
- NPI assigned
- Nov 24, 2015
- Organization subpart
- No
Authorized official
- Name
- Kristin Keller
- Title
- Sr. Director, Planning and Alignmen
- Phone
- (650) 934-7000
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 23
Member of 1
Practitioners 2,529
-
Artin Aharonian, M.D.
-
SE Jin Ahn, M.D.
-
Matthew David Alvin, MD, MBA, MS, MA
-
Shannon Eloi Bownds, M.D.
-
Matthew Aaron Haber, M.D.
-
Blake Charles Jones, M.D.
-
Russell Phelps Kelley IV, M.D.
-
Philip Francis Lobert, M.D.
-
Roi M Lotan, MD
-
Andrew J Martin, M.D.
-
Justin L McCoy, MD
-
Tejal N. Patel, M.D.
-
Lisa Ratanaprasatporn, M.D.
-
Shareef Mohamed Riad, M.D.
-
Eric Royston, DO
-
Ajay Kumar Singh, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (26 enrollments) in HI, OH, MA, DC, PA, CO, FL, IN, NY, OR, KY, TX, MD, NV, WA, AZ, VA, OK, KS, MN, MI, PR, IL, RI, NE, WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100505000759 | HI | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Kaneohe, HI; Kihei, HI |
| O20100506000589 | OH | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Norwood, OH |
| O20100519000222 | MA | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 7 practitioners 2 other NPIs on this enrollment Practice locations: Winchester, MA; Newton, MA; Hopkinton, MA; Brighton, MA; Boston, MA; Acton, MA; Cambridge, MA |
| O20100521000895 | DC | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment Practice locations: Arlington, VA; Gaithersburg, MD; Potomac, MD; Washington, DC |
| O20100527000019 | PA | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 4 practitioners 2 other NPIs on this enrollment Practice locations: Doylestown, PA; Girard, PA; Glen Mills, PA; Philadelphia, PA |
| O20100603000790 | CO | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 1 practitioner 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Denver, CO |
| O20100608000617 | FL | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 7 practitioners 2 other NPIs on this enrollment Practice locations: Windermere, FL; St Petersburg, FL; Oviedo, FL; Orlando, FL; Miami Beach, FL |
| O20100712000118 | IN | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 1 practitioner Practice locations: Indianapolis, IN |
| O20100728000874 | NY | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Poughkeepsie, NY; Valley Stream, NY |
| O20101109001484 | OR | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment Practice locations: Bend, OR; Newberg, OR |
| O20101122000656 | KY | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Louisville, KY |
| O20101206000588 | TX | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 8 practitioners 3 other NPIs on this enrollment Practice locations: Plano, TX; Sugar Land, TX; Spring, TX; San Antonio, TX; Prosper, TX; Houston, TX; Dallas, TX |
| O20160310000182 | MD | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment Practice locations: Gaithersburg, MD; Towson, MD; Potomac, MD; Pikesville, MD; Laurel, MD; Berlin, MD; Bel Air, MD |
| O20160330001311 | NV | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Vegas, NV |
| O20160331001730 | WA | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment Practice locations: Bothell, WA; Seattle, WA; Kirkland, WA; Bellevue, WA |
| O20160331001994 | AZ | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Paradise Valley, AZ; Scottsdale, AZ |
| O20160401001900 | VA | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 3 practitioners Practice locations: Suffolk, VA; Williamsburg, VA; Leesburg, VA |
| O20200128000090 | OK | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 1 practitioner Practice locations: Tulsa, OK |
| O20200206000501 | KS | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 1 practitioner Practice locations: Lawrence, KS |
| O20200226000913 | MN | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 2 practitioners Practice locations: Plymouth, MN; Edina, MN |
| O20231129001049 | MI | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment Practice locations: Ann Arbor, MI; Grand Rapids, MI |
| O20240127000494 | PR | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 1 practitioner Practice locations: San Juan, PR |
| O20240710001546 | IL | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Chicago, IL |
| O20250501002859 | RI | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: East Greenwich, RI |
| O20251202001965 | NE | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 1 practitioner Practice locations: Omaha, NE |
| O20260105000337 | WI | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Whitefish Bay, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
2995 American River LN
Las Vegas, NV 89135-1713
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Other practice location 1
3846 Cascadia Ave S
Seattle, WA 98118-1129
Phone (209) 524-1211
Other names
- SGMF Radiology
Other providers in Las Vegas, NV
- Joy Kimberlee Sutherland
- Kimberly Anne Sutherland
- Timothy Bruce Sutherland
- Elizabeth Postajain Sutphin
- Sutter Bay Medical Foundation
- Sutter West Bay Medical Foundation
- Patience Sutter
- Sarah Anne Sutter
- Lavonne Sutters
- Denise Suttle
All providers in Las Vegas, NV · Diagnostic Radiology Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.