Individual provider Active NPI

David Franklin Sutter, M.D.

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1659351500
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J8391 Issued in TX
Practice address
601 Texan TRL
Suite 200
Corpus Christi, TX 78411-2547
Phone
(361) 808-7200
Fax
(361) 653-0431
NPI assigned
Jan 18, 2006
Last updated
Aug 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J8391 TX Primary

Addresses

Primary practice location

601 Texan TRL
Suite 200
Corpus Christi, TX 78411-2547

Mailing address

601 Texan TRL
Suite 200
Corpus Christi, TX 78411-2547
Phone (361) 808-7200

Other identifiers 2

IdentifierTypeStateIssuer
156124301MedicaidTX
8G6841OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100526000725 TX Practitioner - Family Practice 9133258304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8391TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corpus Christi Family Medicine Center PA Family Medicine CurrentSince Aug 1, 2002 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

601 Texan Trl
Corpus Christi, TX 78411
Phone (361) 696-6238

601 Texan Trl
Ste 200
Corpus Christi, TX 78411
Phone (361) 225-2255

Interoperability endpoints

  • Direct secure messaging: david.sutter.1@33464.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345680000000",
    "number": "1659351500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 TEXAN TRL",
            "address_2": "SUITE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112547",
            "telephone_number": "361-808-7200",
            "fax_number": "361-653-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 TEXAN TRL",
            "address_2": "SUITE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112547",
            "telephone_number": "361-808-7200",
            "fax_number": "361-653-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTER",
        "first_name": "DAVID",
        "middle_name": "FRANKLIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2012-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156124301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8G6841",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.