Individual provider Active NPI

Maria Dana Sutkus, DO

  • Family Medicine Physician
  • Sandwich, IL
National Provider Identifier
1447243100
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036082471 Issued in IL
Practice address
1 E Countyline Rd
Sandwich, IL 60548-2178
Phone
(815) 786-2722
Fax
(815) 786-6840
NPI assigned
Aug 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036082471 IL Primary

Addresses

Primary practice location

1 E Countyline Rd
Sandwich, IL 60548-2178

Mailing address

1 E Countyline Rd
Sandwich, IL 60548-2178
Phone (815) 786-2722

Other identifiers 2

IdentifierTypeStateIssuer
19621614OtherILBC/BS
036082471MedicaidIL

Other names 1

  • Mrs. Maria Dana Grauthier Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address msutkus14751@direct.edward.org Direct
Direct Messaging Address msutkus14751@direct.edward.org Direct
Direct Messaging Address msutkus14751@direct.edward.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090106000466 IL Practitioner - Internal Medicine 0345303103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-0096

Hospital & facility affiliations

  • Home Touch Healthcare, Inc Home health agency, Plainfield, IL, CCN 148134
  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Valley West Community Hospital Hospital, Sandwich, IL, CCN 141340

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036082471ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures Family Medicine CurrentSince Jan 1, 2009 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 3, 2024 Accepting new patients
Endeavor Health Medical Group Family Medicine CurrentSince Jan 3, 2024 Accepting new patients
Edward Health Ventures CurrentSince Jan 1, 2009 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

1 E County Line Rd
Sandwich, IL 60548
Phone (815) 786-2722

Interoperability endpoints

  • Direct secure messaging: msutkus14751@direct.edward.org

Organizations & group practices 4

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 3

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1447243100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E COUNTYLINE RD",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605482178",
            "telephone_number": "815-786-2722",
            "fax_number": "815-786-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E COUNTYLINE RD",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605482178",
            "telephone_number": "815-786-2722",
            "fax_number": "815-786-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTKUS",
        "first_name": "MARIA",
        "middle_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036082471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "19621614",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082471",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msutkus14751@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1 E Countyline Rd",
            "city": "Sandwich",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605482178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msutkus14751@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1 E Countyline Rd",
            "city": "Sandwich",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605482178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msutkus14751@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1 E Countyline Rd",
            "city": "Sandwich",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605482178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "GRAUTHIER",
            "middle_name": "DANA",
            "prefix": "MRS.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sandwich, IL

Sources for this page

Verify at the official NPI Registry.