Active NPI
Thomas Lane Sutton, M.D.
- Pediatric Gastroenterology Physician
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 4301511154
- Practice address
- 3535 W 13 Mile Rd Ste 707
Royal Oak, MI 48073-6770 - Phone
- (248) 551-0487
- NPI assigned
- Jun 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 4301511154 | MI | Primary |
Addresses
Primary practice location
3535 W 13 Mile Rd Ste 707
Royal Oak, MI 48073-6770
Mailing address
26901 Beaumont Blvd
Southfield, MI 48033-3849
Phone (947) 522-1867
Other practice location 1
44199 Dequindre Rd Ste 615
Troy, MI 48085-1128
Phone (248) 964-9660
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thomas.sutton@direct.imail.org | ||
| Direct Messaging Address | tsutton6591444@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|
| 4301511154 | MI | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| William Beaumont Hospital | Past | Accepting new patients |
Locations
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
3535 W 13 Mile Rd
Ste 707
Royal Oak, MI 48073
Phone (248) 551-0487
26901 Beaumont Blvd
Southfield, MI 48033
Phone (947) 522-1867
44199 Dequindre Rd
Ste 615
Troy, MI 48085
Phone (248) 964-9660
Interoperability endpoints
- tsutton6591444@direct.beaumont.edu
- tsutton2020762@epic00.corewelldirect.org
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 and National Provider Directory roles.
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- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Physician Assistant
- Royal Oak, MI
- NPI 1164471983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1750319232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849",
"telephone_number": "947-522-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 W 13 MILE RD STE 707",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736770",
"telephone_number": "248-551-0487"
}
],
"practiceLocations": [
{
"address_1": "44199 Dequindre Rd Ste 615",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480851128",
"country_code": "US",
"telephone_number": "248-964-9660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTTON",
"first_name": "THOMAS",
"middle_name": "LANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "MI",
"license": "4301511154",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thomas.sutton@direct.imail.org",
"affiliation": "N",
"address_1": "1055 N 300 W",
"address_2": "Suite 110",
"city": "Provo",
"state": "UT",
"country_code": "US",
"postal_code": "846043344",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tsutton6591444@direct.beaumont.edu",
"affiliation": "N",
"address_1": "3535 W 13 Mile Rd Ste 707",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480736770",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.