Individual provider Active NPI

Sara E. Suthers, MD

  • Surgical Oncology Physician
  • Oklahoma City, OK
National Provider Identifier
1619936184
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
21760 Issued in OK
Practice address
4401 McAuley Blvd Ste 2200
Oklahoma City, OK 73120
Phone
(405) 749-7023
Fax
(405) 749-7025
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 21760 OK
Surgical Oncology Physician 2086X0206X 21760 OK Primary

Addresses

Primary practice location

4401 McAuley Blvd Ste 2200
Oklahoma City, OK 73120

Mailing address

4401 McAuley Blvd
Sute 2200
Oklahoma City, OK 73120-8339
Phone (405) 749-7023

Other identifiers 1

IdentifierTypeStateIssuer
200076250AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061221000211 OK Practitioner - Surgical OncologyPractitioner - General PracticePractitioner - General Surgery 8729002639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
University of Oklahoma College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

4300 McAuley Blvd
Oklahoma City, OK 73120-8302
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy66
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Surgical Group, PLLC Surgery CurrentSince Mar 1, 2012 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Mar 1, 2014 Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Ismc Surgical Associates Surgery Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Surgery Past Accepting new patients
Norman Regional Providers Primary Care Past Accepting new patients
Surgical Specialists of Oklahoma PLLC Surgery Past Accepting new patients

Locations

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

2525 NW Expressway
Ste 610
Oklahoma City, OK 73112
Phone (405) 242-2181

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEAHBA
  • Direct secure messaging: ssuthers@direct.uspi.com

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 and National Provider Directory roles.

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1619936184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 MCAULEY BLVD",
            "address_2": "SUTE 2200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208339",
            "telephone_number": "405-749-7023",
            "fax_number": "705-749-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 MCAULEY BLVD STE 2200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-749-7023",
            "fax_number": "405-749-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERS",
        "first_name": "SARA",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "21760",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "OK",
            "license": "21760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200076250A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.