SCOTT M SUTHERLAND MD
NPI 1518027291
Pediatrics - Pediatric Nephrology in Palo Alto, CA

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment
725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Scott M Sutherland Md NPPES

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

SCOTT M SUTHERLAND MD (NPI 1518027291) is an individual pediatric nephrology provider in Palo Alto, California, licensed in California (A83954) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Stanford, and is a graduate of Yale University School Of Medicine (2002).

NPPES Registry Identity

NPI1518027291
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameSCOTT M SUTHERLANDCredential: MD
Location Address725 WELCH RDPalo Alto, CA 94304-1601
Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2002
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 1, 2024
NPPES CertifiedJuly 1, 2024
✔ NPI 1518027291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in CA · A83954
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Also ListedPediatricsTaxonomy 208000000X · License A83954 (CA)
725 WELCH RD, Palo Alto, CA 94304

Secondary Practice Location 1

Location 1300 Pasteur Dr, SUMC - Peds Physicin Billing - MC: 5530Stanford, CA 94305-2200 · Phone (650) 498-7391 · Fax (650) 725-7888

Other Identifiers 1

Medicaid00A839540CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott M Sutherland Md 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 ID8426120163
PECOS Enrollment IDI20080711000520
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Scott Sutherland reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children
725 WELCH RD
Palo Alto, CA 94304
  • Reassigned Medicare billing, California enrollment
  • 3,617 clinicians in this Medicare group
Multi-Specialty
1319 PUNAHOU ST
Honolulu, HI 96826
  • Reassigned Medicare billing, Hawaii enrollment
  • 370 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 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.
39 services11 patients

Other Providers at the Same Location NPPES 20

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

Occupational Therapist (Pediatrics)
725 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner (Neonatal)
725 WELCH RD
PALO ALTO, CA 94304
Pediatrics
725 WELCH RD
PALO ALTO, CA 94304
Anesthesiology (Pediatric Anesthesiology)
725 WELCH RD
PALO ALTO, CA 94304
Pediatrics (Pediatric Hematology-Oncology)
725 WELCH RD
PALO ALTO, CA 94304
Occupational Therapist
725 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner
725 WELCH RD
PALO ALTO, CA 94304
Hospitalist
725 WELCH RD
PALO ALTO, CA 94304

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 Scott Sutherland's NPI number?

The NPI number for Scott Sutherland is 1518027291. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Scott Sutherland located?

Scott Sutherland practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.

What is Scott Sutherland's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Scott Sutherland enrolled in Medicare?

Yes. Scott Sutherland 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.

Which organizations bill Medicare for Scott Sutherland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Sutherland reassigns Medicare benefits to 2 organizations: Lpch Medical Group Div Of Lucile (Palo Alto, CA) and Kapiolani Medical Specialists (Honolulu, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Sutherland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Scott Sutherland was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.