NPIMap

Individual provider Active NPI

Bhavin S Suthar, MD

  • Specialist
  • Fredericksburg, VA
National Provider Identifier
1376574459
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101239456 Issued in VA
Practice address
4710 Spotsylvania Pkwy
Suite 201
Fredericksburg, VA 22407-9433
Phone
(540) 374-3233
Fax
(540) 374-3234
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101239456 VA Primary

Addresses

Primary practice location

4710 Spotsylvania Pkwy
Suite 201
Fredericksburg, VA 22407-9433

Mailing address

3310 Fall Hill Ave
Fredericksburg, VA 22401-3000
Phone (540) 374-3233

Other identifiers 3

IdentifierTypeStateIssuer
1376574459MedicaidVA
350742OtherVAANTHEM
1376574459OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061204000057 VA Practitioner - Interventional Pain Management 6002815909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Louisiana State University School of Medicine in New Orleans, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare PhysiciansGroup PAC ID 2769546530, 286 clinicians

Practice addresses (Care Compare)

4710 Spotsylvania Pkwy
Suite 101
Fredericksburg, VA 22407-9433
Phone (540) 373-4602

Hospital & facility affiliations

  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jul 1, 2019 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jul 1, 2019 Accepting new patients
Sun Coast Pain Management, P.a. Specialist Past Accepting new patients
American Anesthesiology Associates of Virginia, Inc Past Accepting new patients
Vicksburg Clinic LLC Past Accepting new patients
Vicksburg Clinic LLC Past Accepting new patients
Virginia Interventional Spine Associates PC PastSince Aug 29, 2007 Accepting new patients
Sun Coast Anesthesia PA Past Accepting new patients

Locations

2549 Cowan Blvd
Fredericksburg, VA 22401
Phone (540) 368-3970

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

4710 Spotsylvania Pkwy
Ste 201
Fredericksburg, VA 22407
Phone (540) 374-3233

4710 Spotsylvania Pkwy
Ste 101
Fredericksburg, VA 22407

1201 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-7000

3310 Fall Hill Ave
Fredericksburg, VA 22401
Phone (540) 373-7133

Interoperability endpoints

  • Direct secure messaging: bsuthar36870@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1376574459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 FALL HILL AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013000",
            "telephone_number": "540-374-3233",
            "fax_number": "540-374-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 SPOTSYLVANIA PKWY",
            "address_2": "SUITE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079433",
            "telephone_number": "540-374-3233",
            "fax_number": "540-374-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHAR",
        "first_name": "BHAVIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101239456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376574459",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "350742",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376574459",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.