Active NPI
Robert Sutton Lea, MD
- Family Medicine Physician
- Chippewa Falls, WI
National Provider Identifier
1861495913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24971
- Practice address
- 24509 County Highway I
Chippewa Falls, WI 54729 - Phone
- (715) 723-9138
- Fax
- (715) 723-8633
- NPI assigned
- May 23, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 24971 | WI | |
| Family Medicine Physician | 207Q00000X | 24971 | WI | Primary |
Addresses
Primary practice location
24509 County Highway I
Chippewa Falls, WI 54729
Mailing address
PO Box 19070
Green Bay, WI 54307-9070
Phone (920) 496-4700
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020 | Other | WI | GREATER MARSFIELD PLAN |
| 4F991LE | Other | WI | BLUE CROSS MINNESOTA |
| W005284 | Other | WI | CHAMPUS |
| 4F991LE | Other | WI | ATRIUM |
| 01-19481 | Other | WI | MEDICA |
| B54489 | Other | WI | GROUP HEALTH |
| B54489 | Other | WI | MA GROUP HEALTH |
| 30499400 | Other | WI | WISCONSIN RISK |
| 301025868 | Other | WI | PREFERRED ONE |
| 3080003725 | Other | WI | TRAVELERS RAILROAD |
| 4F991LE | Other | WI | ATRIUM SENIOR PLAN |
| 391435797 | Other | WI | EMPLOYERS HEALTH |
| 0001 | Other | WI | ADVOCARE |
| 301813 | Other | WI | CCN |
| 30499400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSHS Wisconsin Medical Group Inc | Family Medicine | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Chippewa Falls, WI
- NPI 1932218187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1861495913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19070",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543079070",
"telephone_number": "920-496-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24509 COUNTY HIGHWAY I",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "54729",
"telephone_number": "715-723-9138",
"fax_number": "715-723-8633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEA",
"first_name": "ROBERT",
"middle_name": "SUTTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "WI",
"license": "24971",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "24971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREATER MARSFIELD PLAN",
"identifier": "1020",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MINNESOTA",
"identifier": "4F991LE",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "W005284",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATRIUM",
"identifier": "4F991LE",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "01-19481",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "B54489",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA GROUP HEALTH",
"identifier": "B54489",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN RISK",
"identifier": "30499400",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "301025868",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS RAILROAD",
"identifier": "3080003725",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATRIUM SENIOR PLAN",
"identifier": "4F991LE",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYERS HEALTH",
"identifier": "391435797",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVOCARE",
"identifier": "0001",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "301813",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30499400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.