NPIMap

Individual provider Active NPI

Vikki L Sutterfield, MD

  • Family Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1447247267
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E1677 Issued in AR
Practice address
4200 Jenny Lind Rd
Ste B
Fort Smith, AR 72901-7660
Phone
(479) 709-7245
Fax
(479) 709-7249
NPI assigned
Oct 6, 2005
Last updated
Aug 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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 E1677 AR Primary

Addresses

Primary practice location

4200 Jenny Lind Rd
Ste B
Fort Smith, AR 72901-7660

Mailing address

PO Box 2420
Fort Smith, AR 72902-2420
Phone (479) 709-7399

Other identifiers 2

IdentifierTypeStateIssuer
137635001MedicaidAR
100081350AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20040923000948 AR Practitioner - Family Practice 0143298422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, shared by 4 NPIs, 361 clinicians

Practice addresses (Care Compare)

1000 S Waldron Rd
Fort Smith, AR 72903-2550
Phone (479) 221-9922

3501 We Knight Dr
Fort Smith, AR 72903-6254
Phone (479) 709-6700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E1677ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Jan 27, 2020 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Feb 1, 2009 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Feb 1, 2009 Accepting new patients
Sparks Medical Foundation Family Medicine Past Accepting new patients
Sparks Medical Foundation Past Accepting new patients

Locations

1000 S Waldron Rd
Fort Smith, AR 72903
Phone (479) 221-9922

3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700

4107 Massard Rd
Fort Smith, AR 72903
Phone (479) 314-4940

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

Interoperability endpoints

  • Direct secure messaging: vsutterfield124858@directb.mercy.net
  • Direct secure messaging: vsutterfield134882@directc.mercy.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1447247267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2420",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729022420",
            "telephone_number": "479-709-7399",
            "fax_number": "479-709-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 JENNY LIND RD",
            "address_2": "STE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017660",
            "telephone_number": "479-709-7245",
            "fax_number": "479-709-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTERFIELD",
        "first_name": "VIKKI",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E1677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137635001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100081350A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.