Individual provider Active NPI

Robin Ashley Sautter, MD

  • Family Medicine Physician
  • Moscow, ID
National Provider Identifier
1619402484
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-14433 Issued in ID
Practice address
623 S Main St Ste 1
Moscow, ID 83843-3042
Phone
(208) 882-2011
Fax
(208) 883-1853
NPI assigned
Apr 28, 2017
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MRM-1638 ID
Family Medicine Physician 207Q00000X M-14433 ID Primary

Addresses

Primary practice location

623 S Main St Ste 1
Moscow, ID 83843-3042

Mailing address

PO Box 8007
Moscow, ID 83843-0507
Phone (208) 883-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 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
I20200811003640 WA Practitioner - Family Practice 1951671759 Reassigns benefits to 1 organization
I20210924002153 ID Practitioner - Family Practice 1951671759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota, Duluth School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gritman Medical Center IncGroup PAC ID 0941545784, 27 clinicians

Practice addresses (Care Compare)

623 S Main St
Suite 1
Moscow, ID 83843-2983
Phone (208) 882-2011

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jul 20, 2020 Accepting new patients
Multicare Health System CurrentSince Jul 20, 2020 Accepting new patients
Multicare Health System Current Accepting new patients
Gritman Medical Center, Inc. Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Gritman Medical Center, Inc. Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Gritman Medical Center Inc CurrentSince Oct 1, 2021 Accepting new patients
Gritman Medical Center Inc. CurrentSince Oct 1, 2021 Accepting new patients

Locations

623 S Main St
Ste 1
Moscow, ID 83843
Phone (208) 882-2011

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

521 S K St
Tacoma, WA 98405
Phone (253) 403-2900

Interoperability endpoints

  • Direct secure messaging: rsautter689748@direct.ochin.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1619402484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8007",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430507",
            "telephone_number": "208-883-2224",
            "fax_number": "208-883-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 S MAIN ST STE 1",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433042",
            "telephone_number": "208-882-2011",
            "fax_number": "208-883-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUTTER",
        "first_name": "ROBIN",
        "middle_name": "ASHLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRM-1638",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-14433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.