Individual provider Active NPI

Ernest Sutton II, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1609130327
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101273732 Issued in VA
Practice address
5841 S Maryland Ave
Room J-141
Chicago, IL 60637-1447
Phone
(773) 702-9500
NPI assigned
Jun 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 125-062179 IL
Emergency Medicine Physician 207P00000X 0101273732 VA Primary

Addresses

Primary practice location

5841 S Maryland Ave
Room J-141
Chicago, IL 60637-1447

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190924003915 NC Practitioner - Emergency Medicine 0749599884 Reassigns benefits to 5 organizations
I20220128000119 VA Practitioner - Emergency Medicine 0749599884 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Human Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NC Emergency Physician Services PLLCGroup PAC ID 5890916514, 14 clinicians
Kernersville Emergency Group, PLLCGroup PAC ID 3375885429, 53 clinicians
Wildwood Emergency Group, LLCGroup PAC ID 4789932385, 35 clinicians

Practice addresses (Care Compare)

117 E Kings Hwy
Eden, NC 27288-5201
Phone (336) 627-6181

1750 Kernersville Medical Pkwy
Kernersville, NC 27284-7146
Phone (336) 564-4850

3700 S Main St
Blacksburg, VA 24060-7017
Phone (540) 951-1111

Hospital & facility affiliations

  • Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110
  • Unc Rockingham Hospital, Eden, NC, CCN 340060
  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125-062179ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kernersville Emergency Group, PLLC Emergency Medicine CurrentSince Jul 15, 2019 Accepting new patients
Ingleside Emergency Group, LLC Emergency Medicine CurrentSince Jul 11, 2023 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Jul 15, 2015 Accepting new patients
NC Emergency Physician Services, PLLC Emergency Medicine CurrentSince Sep 10, 2023 Accepting new patients
Brunswick Physician Partners, PLLC Emergency Medicine CurrentSince Apr 29, 2024 Accepting new patients
Wildwood Emergency Group, LLC Emergency Medicine CurrentSince Jul 11, 2023 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Jul 15, 2015 Accepting new patients
Lake Spring Emergency Group, LLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Piedmont Triad Physicians, PLLC Emergency Medicine CurrentSince Apr 30, 2024 Accepting new patients
Tanglewood Park Physicians, PLLC Emergency Medicine CurrentSince Jul 15, 2019 Accepting new patients
Emergency Physicians of Southern Virginia LLP Emergency Medicine CurrentSince Dec 21, 2021 Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1609130327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "address_2": "ROOM J-141",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "ERNEST",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125-062179",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101273732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.