NPIMap

Individual provider Active NPI

John R Sutton, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Carson City, NV
National Provider Identifier
1801812631
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
1092 Issued in NV
Practice address
1177 N Division St
#3
Carson City, NV 89703-3805
Phone
(775) 841-6333
Fax
(775) 841-3304
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 1092 NV Primary

Addresses

Primary practice location

1177 N Division St
#3
Carson City, NV 89703-3805

Mailing address

1177 N Division St
#3
Carson City, NV 89703-3805
Phone (775) 841-6333

Other identifiers 2

IdentifierTypeStateIssuer
P00112192OtherNVRAIL ROAD MEDICARE ID #
CC5847OtherNVBCBS ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20051212000778 NV Practitioner - Endocrinology 0840211314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1177 N Divison
Suite 3
Carson City, NV 89703-3832
Phone (775) 841-6333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.9 of 100Reported as individual
Quality
90.31
Promoting interoperability
100
Improvement activities
40
Cost
76.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1092NVMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Endocrinology LLC Endocrinology, Diabetes & Metabolism CurrentSince Nov 14, 2012 Accepting new patients

Locations

1177 N Division St
Ste 3
Carson City, NV 89703
Phone (775) 841-6333

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEJHAA/Endpoint/EEJHAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEJHAA

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801812631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 N DIVISION ST",
            "address_2": "#3",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033805",
            "telephone_number": "775-841-6333",
            "fax_number": "775-841-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 N DIVISION ST",
            "address_2": "#3",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033805",
            "telephone_number": "775-841-6333",
            "fax_number": "775-841-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NV",
            "license": "1092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE ID #",
            "identifier": "P00112192",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "CC5847",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.