Cammual Dylan Suttor, M. D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

37982 Issued in KY

Practice address

100 N Eagle Creek Dr
Lexington, KY 40509-1805

Phone

(859) 258-5353

Fax

(859) 258-5335

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Internal MedicineAlso: Psychiatry

Education

University of Kentucky College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph East Hospital, Lexington, KY, CCN 180143
• Saint Joseph Mount Sterling Hospital, Mount Sterling, KY, CCN 180064

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cammual.suttor.1@13059.direct.athenahealth.com

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.

• New Lexington Clinic, PSC

  • Multi-Specialty Clinic/Center
  • Lexington, KY
  • NPI 1700803681

  Internal Medicine, KY

  Medicare reassignment Care Compare group NPD
• New Lexington Clinic PSC

  • Clinical Medical Laboratory
  • Lexington, KY
  • NPI 1285409425
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1447457775

  Hospital

  Care Compare affiliation
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Mt Sterling, KY
  • NPI 1679679146

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1487657367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-425-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N EAGLE CREEK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091805",
            "telephone_number": "859-258-5353",
            "fax_number": "859-258-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTOR",
        "first_name": "CAMMUAL",
        "middle_name": "DYLAN",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "37982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64069438",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Sutphin
• Stephanie Dixon Sutphin, PHARMD
• Ashley Cobane Sutton, PA-C
• Nikita Sutton, APRN
• Perry Brian Sutton, ARNP
• Christopher Svendsen, DO
• Lillian Svete, MD
• David J Svetich, MD
• Susan K. Svetich, P.A.-C.
• Kara Jo Swafford, MD

• Internal Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.