NPIMap

Individual provider Active NPI

Catherine A Sutera, MD

  • Family Medicine Physician
  • Chadron, NE
National Provider Identifier
1962485292
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19911 Issued in NE
Practice address
825 Centennial Dr
Chadron, NE 69337-9400
Phone
(308) 432-4441
Fax
(308) 432-4446
NPI assigned
Nov 21, 2005
Last updated
Jul 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19911 NE Primary

Addresses

Primary practice location

825 Centennial Dr
Chadron, NE 69337-9400

Mailing address

825 Centennial Dr
Chadron, NE 69337-9400
Phone (308) 432-4441

Other identifiers 1

IdentifierTypeStateIssuer
31445OtherNEBLUE SHIELD PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20100816000926 NE Practitioner - Family Practice 8527190297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chadron Medical Clinic PCGroup PAC ID 8022086453, 11 clinicians

Practice addresses (Care Compare)

825 Centennial Dr
Chadron, NE 69337-9400
Phone 30843244412306

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions13
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19911NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chadron Medical Clinic PC CurrentSince Oct 1, 1996 Accepting new patients
Chadron Community Hospital Corp. CurrentSince May 26, 2014 Accepting new patients
Chadron Community Hospital Corp. Family Medicine Past Accepting new patients
Chadron Medical Clinic PC Family Medicine Past Accepting new patients

Locations

825 Centennial Dr
Chadron, NE 69337
Phone (308) 432-4441

11 Paddock St
Crawford, NE 69339
Phone (308) 665-1770

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pioneer ManorHay Springs, NE, CCN 285212 Skilled nursing facility Adp of the SNF Jul 1, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1962485292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CENTENNIAL DR",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693379400",
            "telephone_number": "308-432-4441",
            "fax_number": "308-432-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CENTENNIAL DR",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693379400",
            "telephone_number": "308-432-4441",
            "fax_number": "308-432-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTERA",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "19911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "31445",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadron, NE

Sources for this page

Verify at the official NPI Registry.