Active NPI
Thomas P Sutula, MD PHD
- Neurology Physician
- Madison, WI
National Provider Identifier
1538135272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25808
- Practice address
- 1501 Edgehill Dr
Madison, WI 53705-1448 - Phone
- (608) 233-9719
- NPI assigned
- Feb 23, 2006
- 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 |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 25808 | WI | |
| Neurology Physician | 2084N0400X | 25808 | WI | Primary |
Addresses
Primary practice location
1501 Edgehill Dr
Madison, WI 53705-1448
Mailing address
1501 Edgehill Dr
Madison, WI 53705-1448
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25808 | WI | MD | Neurology with Special Qualifications in Child Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1538135272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 EDGEHILL DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537051448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 EDGEHILL DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537051448",
"telephone_number": "608-233-9719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTULA",
"first_name": "THOMAS",
"middle_name": "P",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "WI",
"license": "25808",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "25808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.