John R Sutter, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-06-6614-S Issued in OH

Practice address

3250 Middle Urbana Rd
Springfield, OH 45502-9285

Phone

(937) 399-7777

Fax

(937) 399-6794

NPI assigned

May 24, 2005

Last updated

Nov 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Family Practice

Education

Ohio State University College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kettering Homecare Home health agency, Kettering, OH, CCN 367778
• Ohio Valley Hospice Hospice, Beavercreek, OH, CCN 361647
• Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
• Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
• Ohio Valley Surgical Hospital Hospital, Springfield, OH, CCN 360355
• Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Alliance Physicians Inc

  dba Kettering Health Medical Group

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  Medicare reassignment Care Compare group NPD
• Alliance Physicians Inc

  dba Kettering Reproductive Medicine

  • Reproductive Endocrinology Physician
  • Kettering, OH
  • NPI 1578824033
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alternate Solutions Homecare of Dayton, LLC

  • Home Health Agency
  • Kettering, OH
  • NPI 1639195332
  Care Compare affiliation
• Beavercreek Medical Center

  dba Soin Medical Center

  • General Acute Care Hospital
  • Beavercreek, OH
  • NPI 1760764849
  Care Compare affiliation
• Community Mercy Health Partners

  dba Mercy Health - Springfield Regional Medical Center

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1144286402
  Care Compare affiliation
• Community Mercy Health Partners

  dba Mercy Health - Lab Services, Springfield

  • Clinical Medical Laboratory
  • Springfield, OH
  • NPI 1477217297

  Hospital

  Care Compare affiliation
• Dayton Osteopathic Hospital

  dba Kettering Health Dayton

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1053339507
  Care Compare affiliation
• Hospice of the Miami Valley, LLC

  dba Adoration Hospice

  • Community Based Hospice Care Agency
  • Beavercreek, OH
  • NPI 1003067216
  Care Compare affiliation
• Ohio Valley Medical Center, LLC

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1538304050
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1710980685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 MIDDLE URBANA RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455029285",
            "telephone_number": "937-399-7777",
            "fax_number": "937-399-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 MIDDLE URBANA RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455029285",
            "telephone_number": "937-399-7777",
            "fax_number": "937-399-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTER",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-06-6614-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000013688",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED  HEALTH CARE",
            "identifier": "0122536",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4484969",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "311202780009",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080065425",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "OH0000444",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0982601",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3250 Middle Urbana Rd",
            "city": "Springfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "455029285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsutter194048@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "3250 Middle Urbana Rd",
            "city": "Springfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "455029285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alayna Jade Sullivan
• Ashley Marie Summers, PTA
• Sunrise Treatment Center, LLC
• Suzanne R Sunshine, LISW-S
• Surgical Associates of Springfield Inc
• Ashley Suttles, DPT
• Kristen Lynne Suttles
• Vedat Serhan Suvag, DDS
• Linda C Sweeney
• Michael Sweetman, CDCA

• Family Medicine Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.