Individual provider Active NPI

Alan Sutton, M.D.

  • Internal Medicine Physician
  • Davenport, IA
National Provider Identifier
1184150476
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-47570 Issued in IA
Practice address
500 W River Dr
Davenport, IA 52801-1014
Phone
(563) 336-3000
Fax
(563) 336-3125
NPI assigned
May 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-47570 IA Primary

Addresses

Primary practice location

500 W River Dr
Davenport, IA 52801-1014

Mailing address

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 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
I20200720000875 IA Practitioner - Internal MedicinePractitioner - Hospitalist 3678828860 Reassigns benefits to 1 organization
I20231017001693 IL Practitioner - Internal Medicine 3678828860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Southern Illinois University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care IncGroup PAC ID 9830008895, shared by 17 NPIs, 56 clinicians

Practice addresses (Care Compare)

2750 11TH St
Rock Island, IL 61201-5216
Phone (563) 336-3000

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care, Inc CurrentSince Sep 3, 2023 Accepting new patients
Community Health Care, Inc. CurrentSince Jun 21, 2023 Accepting new patients
Community Health Care Inc CurrentSince Jun 21, 2023 Accepting new patients

Locations

925 S 4th St
Clinton, IA 52732
Phone (563) 205-3578

500 W River Dr
Davenport, IA 52801
Phone (563) 327-2035

1510 E Rusholme St
Davenport, IA 52803
Phone (563) 359-6633

2925 Cedar St
Ste 2
Muscatine, IA 52761
Phone (563) 263-7410

708 15th Ave
East Moline, IL 61244
Phone (309) 751-4023

4101 John Deere Rd
Moline, IL 61265
Phone (309) 765-1600

1106 4th Ave
Moline, IL 61265
Phone (309) 623-4817

2200 3rd Ave
Rock Island, IL 61201
Phone (309) 779-2094

2750 11th St
Rock Island, IL 61201
Phone (563) 327-2000

Interoperability endpoints

  • Direct secure messaging: asutton655746@direct.ochin.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1184150476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W RIVER DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011014",
            "telephone_number": "563-336-3000",
            "fax_number": "563-336-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W RIVER DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011014",
            "telephone_number": "563-336-3000",
            "fax_number": "563-336-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-47570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.