Individual provider Active NPI

Suzette Martina Johnson Futrell, D.O.

  • Family Medicine Physician
  • Bel Air, MD
National Provider Identifier
1871730739
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OT012557 Issued in PA
Practice address
402 Beetlebrook Dr
Bel Air, MD 21014-2583
Phone
(443) 866-4220
NPI assigned
Jan 14, 2009
Last updated
Aug 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0071825 MD
Hospitalist Physician 208M00000X H71825 MD
Family Medicine Physician 207Q00000X OT012557 PA Primary
Hospitalist Physician 208M00000X H78125 MD

Addresses

Primary practice location

402 Beetlebrook Dr
Bel Air, MD 21014-2583

Mailing address

PO Box 759047
Baltimore, MD 21275-9047
Phone (804) 968-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110603000501 MD Practitioner - HospitalistPractitioner - Family PracticePractitioner - Internal Medicine 0143407965 Reassigns benefits to 9 organizations
I20161020000142 DC Practitioner - Family Practice 0143407965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

3001 S Hanover St
Baltimore, MD 21225-1233
Phone (410) 350-3200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT012557PAMDFamily Medicine Physician
H78125MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Nov 1, 2020 Accepting new patients
Northwest Hospital Center, Inc. CurrentSince Dec 17, 2013 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Mar 10, 2011 Accepting new patients
Medstar Urgent Care LLC CurrentSince Mar 13, 2018 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Mar 10, 2011 Accepting new patients
Mdics at Meritus Medical Center, LLC Hospitalist CurrentSince Feb 1, 2016 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Family Medicine CurrentSince Dec 24, 2015 Accepting new patients
Adfinitas Health at Upper Chesapeake Harford Memorial LLC Hospitalist CurrentSince Jul 1, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Nov 1, 2016 Accepting new patients
Upper Chesapeake Medical Services, Inc Hospitalist CurrentSince Aug 15, 2011 Accepting new patients
Northwest Hospital Center, Inc Hospitalist CurrentSince Dec 17, 2013 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Nov 1, 2016 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Mar 13, 2018 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Family Medicine CurrentSince Dec 24, 2015 Accepting new patients
Franklin Square Hospital Center, Inc Past Accepting new patients

Locations

660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

501 S Union Ave
Hvre de Grace, MD 21078
Phone (301) 939-2400

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

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": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1871730739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759047",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212759047",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 BEETLEBROOK DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142583",
            "telephone_number": "443-866-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON FUTRELL",
        "first_name": "SUZETTE",
        "middle_name": "MARTINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0071825",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "H71825",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT012557",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "H78125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.