Organization Active NPI

Diane J. Sutter, M.D., LLC

  • Gynecology Physician
  • Kenmore, NY
National Provider Identifier
1538466511
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
DIANE J. SUTTER, M.D., LLC
Practice address
3800 Delaware Avenue
Suite 102
Kenmore, NY 14217
Phone
(716) 650-5548
Fax
(716) 783-8557
NPI assigned
Feb 28, 2011
Last updated
Mar 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Mrs. Diane J Sutter, M.D.NPI 1447291703
Title
Owner/Physician
Phone
(716) 650-5548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X NY Primary

Addresses

Primary practice location

3800 Delaware Avenue
Suite 102
Kenmore, NY 14217

Mailing address

3800 Delaware Avenue
Suite 200
Kenmore, NY 14217
Phone (716) 650-5548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110429000234 NY Part B Supplier - Clinic/Group Practice 8729263140 Receives reassigned benefits from 3 practitioners
Practice locations: Kenmore, NY

National Provider Directory

National Provider Directory

Locations

3800 Delaware Ave
Ste 102
Kenmore, NY 14217
Phone (716) 551-1970

3800 Delaware Ave
Ste 200
Kenmore, NY 14217

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1538466511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 DELAWARE AVENUE",
            "address_2": "SUITE 200",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "14217",
            "telephone_number": "716-650-5548",
            "fax_number": "716-674-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 DELAWARE AVENUE",
            "address_2": "SUITE 102",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "14217",
            "telephone_number": "716-650-5548",
            "fax_number": "716-783-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE J. SUTTER, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "SUTTER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "716-650-5548",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.