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TIMOTHY A SUTTON M.D.
NPI 1194780403
Internal Medicine - Nephrology in Indianapolis, IN

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
950 W WALNUT ST, E 276, INDIANAPOLIS, IN 46202(317) 274-7453 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2025, Nov 18, 2020 (2 updates tracked since 2020).

About Timothy A Sutton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY A SUTTON M.D. (NPI 1194780403) is an individual nephrology provider in Indianapolis, Indiana, licensed in Indiana (01041618A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1194780403
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameTIMOTHY A SUTTONCredential: M.D.
Location Address950 W WALNUT ST, E 276Indianapolis, IN 46202-5188
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 274-7453
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1992
Enumeration DateApril 19, 2006
Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1194780403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IN · 01041618A
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
950 W WALNUT ST, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Location 1

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 1

Medicaid100382680IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy A Sutton M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981749751
PECOS Enrollment IDI20100304000164
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
99 services55 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
51 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHIKO SUZUKI M.D., PH.D.
Student in an Organized Health Care Education/Training Program
950 W WALNUT ST, R2 E202
INDIANAPOLIS, IN 46202
Marion County (317) 274-7453
INDIANA UNIVERSITY SCHOOL OF MEDICINE
General Acute Care Hospital
950 W WALNUT ST, DIVISION OF NEPHROLOGY, R2 BUILDING ROOM 202
INDIANAPOLIS, IN 46202
Marion County (317) 274-7453
DR. JINWOOK PARK MD
Internal Medicine (Nephrology)
950 W WALNUT ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-7453
MUHAMMAD AKBAR MD
Internal Medicine (Nephrology)
950 W WALNUT ST
INDIANAPOLIS, IN 46202
Marion County (702) 588-9024
MARY ZELLER STUY M.D.
Pediatrics
950 W WALNUT ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-3966
PIERRE CHARLES DAGHER M.D.
Internal Medicine (Nephrology)
950 W WALNUT ST, R2 202A
INDIANAPOLIS, IN 46202
Marion County (317) 274-7453
VIKAS AGRAWAL MBBS
Internal Medicine (Nephrology)
950 W WALNUT ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-6061
JINHUI CHEN
Veterinarian (Medical Research)
950 W WALNUT ST, R2-402
INDIANAPOLIS, IN 46202
Marion County (317) 278-5782

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Sutton's NPI number?

The NPI number for Timothy Sutton is 1194780403. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Timothy Sutton located?

Timothy Sutton practices at 950 W Walnut St E 276, Indianapolis, IN 46202. The listed phone number is (317) 274-7453.

What is Timothy Sutton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Timothy Sutton enrolled in Medicare?

Yes. Timothy Sutton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Timothy Sutton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Timothy Sutton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Timothy Sutton affiliated with any hospitals?

According to CMS data, Timothy Sutton is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for Timothy Sutton was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.