Active NPI
John Patrick Sutter
- Family Medicine Physician
- Arlington, VA
National Provider Identifier
1700902046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101263708
- Practice address
- 200 North Glebe Rd Suite 104
Phoenix House Mid Atlantic
Arlington, VA 22203 - Phone
- (703) 841-0703
- Fax
- (703) 243-0975
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD036177 | DC | |
| Family Medicine Physician | 207Q00000X | 0101263708 | VA | Primary |
Addresses
Primary practice location
200 North Glebe Rd Suite 104
Phoenix House Mid Atlantic
Arlington, VA 22203
Mailing address
200 North Glebe Rd Suite 104
Phoenix House Mid Atlantic
Arlington, VA 22203
Phone (703) 841-0703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD036177 | DC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients |
Locations
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
201 N Washington St
Falls Church, VA 22046
Phone (703) 237-4000
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 and National Provider Directory roles.
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC, Family Medicine
-
- Health Maintenance Organization
- Gaithersburg, MD
- NPI 1831471713
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515628800000",
"number": "1700902046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NORTH GLEBE RD SUITE 104",
"address_2": "PHOENIX HOUSE MID ATLANTIC",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22203",
"telephone_number": "703-841-0703",
"fax_number": "703-243-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NORTH GLEBE RD SUITE 104",
"address_2": "PHOENIX HOUSE MID ATLANTIC",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22203",
"telephone_number": "703-841-0703",
"fax_number": "703-243-0975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTER",
"first_name": "JOHN",
"middle_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2018-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD036177",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101263708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.