Active NPI
Michael Sutter, M.D.
- Anesthesiology Physician
- Nashville, TN
National Provider Identifier
1497752430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 21565
- Practice address
- 110 29TH Ave N
Ste 202
Nashville, TN 37203-1401 - Phone
- (615) 327-4304
- Fax
- (615) 327-7940
- NPI assigned
- Jul 6, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 021565 | TN | |
| Anesthesiology Physician | 207L00000X | 21565 | TN | Primary |
Addresses
Primary practice location
110 29TH Ave N
Ste 202
Nashville, TN 37203-1401
Mailing address
110 29TH Ave N
Ste 202
Nashville, TN 37203-1401
Phone (615) 327-4304
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0158175 | Other | TN | BCBS NUMBER |
| 64911449 | Medicaid | KY | |
| 009914695 | Medicaid | AL | |
| 3061549 | Medicaid | TN |
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 |
|---|---|---|---|
| 021565 | TN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1497752430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 29TH AVE N",
"address_2": "STE 202",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031401",
"telephone_number": "615-327-4304",
"fax_number": "615-327-7940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 29TH AVE N",
"address_2": "STE 202",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031401",
"telephone_number": "615-327-4304",
"fax_number": "615-327-7940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTER",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-06",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "021565",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "21565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "0158175",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64911449",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009914695",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3061549",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.