Active NPI
Sutin - Srisumrid, M.D
- Diagnostic Radiology Physician
- Roanoke, VA
National Provider Identifier
1437111598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101026211
- Practice address
- 3703 Sunridge LN
Roanoke, VA 24018-3181 - Phone
- (540) 772-0923
- NPI assigned
- Apr 4, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101026211 | VA | Primary |
Addresses
Primary practice location
3703 Sunridge LN
Roanoke, VA 24018-3181
Mailing address
3703 Sunridge LN
Roanoke, VA 24018-3181
Phone (540) 772-0923
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101026211 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poplar Bluff Regional Medical Center | Past | Accepting new patients | |
| Brownwood Hospital LP | Diagnostic Radiology | Past | Accepting new patients |
| Poplar Bluff Regional Medical Center LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Brownwood Regional Medical Center
- Diagnostic Radiology Physician
- Brownwood, TX
- NPI 1275556391
-
dba Piedmont Family Pharmacy
- Community/Retail Pharmacy
- Piedmont, MO
- NPI 1205879426
-
dba Poplar Bluff Regional Medical Center
- General Acute Care Hospital
- Poplar Bluff, MO
- NPI 1700831724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1437111598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3703 SUNRIDGE LN",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240183181",
"telephone_number": "540-772-0923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3703 SUNRIDGE LN",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240183181",
"telephone_number": "540-772-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRISUMRID",
"first_name": "SUTIN",
"middle_name": "-",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101026211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
- Springtree Operations LLC (Springtree Health & Rehabilitation Center)
- Catherine Heise Sprinkle, MS,CCC/SLP
- Janet Susan Sprouse, LPC
- Perri A Spruell, R.PH.
- William A Spruill, M.D.
- Christina St. Clair, PHD
- St. Vincent's Home, Inc. (Blue Ridge Autism and Achievement Center)
- Laura St.Clair, M.A. ED.
- Rosina Zangari Stack
- Derick Stackpole
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.