NPIMap

Individual provider Active NPI

Ira Sutton, MD

  • Family Medicine Physician
  • Scarsdale, NY
National Provider Identifier
1720193691
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
154341 Issued in NY
Practice address
2 Overhill Rd
Suite 225
Scarsdale, NY 10583-5323
Phone
(914) 636-0077
Fax
(914) 636-5116
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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 154341 NY Primary

Addresses

Primary practice location

2 Overhill Rd
Suite 225
Scarsdale, NY 10583-5323

Mailing address

2 Overhill Rd
Suite 225
Scarsdale, NY 10583-5323
Phone (914) 636-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080307000212 NY Practitioner - Family Practice 9638254105 Reassigns benefits to 1 organization
Practice locations: Scarsdale, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albany Medical College of Union University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2 Overhill Rd
Suite 225
Scarsdale, NY 10583-5341
Phone (914) 636-0077

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154341NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Ira J. Sutton MD Past Accepting new patients

Locations

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

2 Overhill Rd
Ste 225
Scarsdale, NY 10583
Phone (914) 636-0077

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

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 6

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1720193691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OVERHILL RD",
            "address_2": "SUITE 225",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835323",
            "telephone_number": "914-636-0077",
            "fax_number": "914-636-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OVERHILL RD",
            "address_2": "SUITE 225",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835323",
            "telephone_number": "914-636-0077",
            "fax_number": "914-636-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "IRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "154341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.