Active NPI
Jennefer Carl Sutton, MD
- Family Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M2137
- Practice address
- 3503 Paesanos Pkwy Ste 101
San Antonio, TX 78231-1225 - Phone
- (210) 492-8922
- Fax
- (210) 479-2010
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M2137 | TX | Primary |
Addresses
Primary practice location
3503 Paesanos Pkwy Ste 101
San Antonio, TX 78231-1225
Mailing address
3503 Paesanos Pkwy Ste 101
San Antonio, TX 78231-1225
Phone (210) 492-8922
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341526702 | Medicaid | TX | |
| 341526703 | Other | TX | CSHCN |
| 341526701 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C H Wilkinson Physician Network | Family Medicine | Current | Accepting new patients |
| Health by Design Medical Group | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| Lone Star Primary Care and Aesthetics | Family Medicine | Past | Accepting new patients |
Locations
1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701
3503 Paesanos Pkwy
Ste 101
San Antonio, TX 78231
Phone (210) 492-8922
13409 George Rd
San Antonio, TX 78230
Phone (210) 345-4855
4118 Pond Hill Rd
Ste 202
Shavano Park, TX 78231
Phone (210) 450-6620
Interoperability endpoints
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
- jennefer.sutton@546238333255684.direct.elationemr.com
Organizations & group practices 4
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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- NPI 1306967658
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1790776276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3503 PAESANOS PKWY STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782311225",
"telephone_number": "210-492-8922",
"fax_number": "210-479-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3503 PAESANOS PKWY STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782311225",
"telephone_number": "210-492-8922",
"fax_number": "210-479-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "JENNEFER",
"middle_name": "CARL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "M2137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "341526702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "341526703",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "341526701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.