DR. MICHAEL J SUTHERLAND MD
NPI 1083604821
Surgery - Trauma Surgery in Chicago, IL
NPI Status: Active since October 24, 2005
Contact Information
676 N SAINT CLAIR ST STE 650
CHICAGO, IL
ZIP 60611
Phone: (312) 695-4835
Fax: (312) 695-3644
- Individual
- Male
- Years of Experience 28
- Surgery
- Trauma Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MICHAEL SUTHERLAND
This page provides the complete NPI Profile along with additional information for Michael Sutherland, a provider established in Chicago, Illinois with a medical specialization in Surgery, focusing in trauma surgery and more than 28 years of experience. He graduated from Louisiana State University School Of Medicine In New Orleans in 1998. The healthcare provider is registered in the NPI registry with number 1083604821 assigned on October 2005. The practitioner's primary taxonomy code is 2086S0127X with license number 036160346 (IL). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1083604821
- Provider Name
- DR. MICHAEL J SUTHERLAND MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 676 N SAINT CLAIR ST STE 650 CHICAGO, IL 60611
- Location Phone
- (312) 695-4835
- Location Fax
- (312) 695-3644
- Mailing Address
- 676 N SAINT CLAIR ST STE 650 CHICAGO, IL 60611
- Mailing Phone
- (312) 695-4835
- Mailing Fax
- (312) 695-3644
- Medical School Name
- LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
- Graduation Year
- 1998
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-24-2005
- Last Update Date
- 01-31-2023
- Code Navigator
Location Map
Secondary Locations
- 181 Taylor Ave
Columbus, OH 43203
(614) 293-2101
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Trauma Surgery
- Taxonomy Code
- 2086S0127X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036160346
- License State
- IL
- Taxonomy Description
- Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 35132228 (OH) |
| 2 | 2086S0127X | Allopathic & Osteopathic Physicians | Surgery | 35132228 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0245123 | MEDICAID (05) | OH |
Medicare Participation & PECOS Enrollment Status
Michael Sutherland is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Michael Sutherland is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7618927401
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20221221001934
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Sutherland is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| NORTHWESTERN MEMORIAL HOSPITAL | 251 E HURON ST CHICAGO, IL 60611 | (312) 926-2000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 6 | 0 | 4 | 8 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 12 | 0 | 8 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 1 + 2 + 0 + 8 + 8 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1083604821 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013079367 | KAREN J. HO M.D. Individual | Surgery (Vascular Surgery) | 676 N SAINT CLAIR ST STE 650 CHICAGO, IL 60611 (312) 926-7775 |
| 1982065470 | GRIZAELLA WANG APN Individual | Nurse Practitioner (Family) | 676 N SAINT CLAIR ST STE 650 CHICAGO, IL 60611 (312) 695-2643 |
| 1992868418 | STEPHEN B HANAUER MD Individual | Internal Medicine (Gastroenterology) | 676 N SAINT CLAIR ST STE 650 CHICAGO, IL 60611 (312) 695-5620 |
| 1851849145 | VANESSA JEAN HOPPNER PA-C Individual | Physician Assistant | 676 N SAINT CLAIR ST STE 650 CHICAGO, IL 60611 (312) 695-3800 |
| 1275033615 | SARAH BELL MORRIS APRN, CNP Individual | Nurse Practitioner | 676 N SAINT CLAIR ST STE 650 CHICAGO, IL 60611 (312) 695-4835 |
| 1295374858 | TAL TOVY PA-C Individual | Physician Assistant | 676 N SAINT CLAIR ST STE 650 CHICAGO, IL 60611 (312) 695-4835 |
| 1043696180 | LAUREN ELLEN SKALITZKY PA-C Individual | Physician Assistant (Surgical) | 676 N SAINT CLAIR ST STE 650 CHICAGO, IL 60611 (630) 802-6797 |
| 1427442821 | NICOLE MEREDYTH Individual | Surgery (Trauma Surgery) | 676 N SAINT CLAIR ST STE 650 CHICAGO, IL 60611 (312) 695-4835 |
| 1295338119 | MELISSA ANN MULLENS PA-C Individual | Physician Assistant | 676 N SAINT CLAIR ST STE 650 CHICAGO, IL 60611 (312) 926-0159 |
| 1679216337 | CONNOR BERRY PA-C Individual | Physician Assistant | 676 N SAINT CLAIR ST STE 650 CHICAGO, IL 60611 (312) 695-3800 |
| 1962141457 | BRIANNA GABRIELLE FIALA PA-C Individual | Physician Assistant | 676 N SAINT CLAIR ST STE 650 CHICAGO, IL 60611 (312) 695-4835 |
| 1598389520 | VICTORIA FLOWERS PA-C Individual | Physician Assistant | 676 N SAINT CLAIR ST STE 650 CHICAGO, IL 60611 (312) 695-4835 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083604821, enumerated in the NPI registry as an "individual" on October 24, 2005
The provider is located at 676 N Saint Clair St Ste 650 Chicago, Il 60611 and the phone number is (312) 695-4835
The provider's speciality is Surgery with taxonomy code 2086S0127X with a focus in Trauma Surgery
The provider has more than 28 years of experience. He graduated from Louisiana State University School Of Medicine In New Orleans in 1998.
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The practitioner is affiliated to the following hospital(s): NORTHWESTERN MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on October 24, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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