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DR. MARYKELLY SUTTON MD
NPI 1770672230
Family Medicine in Fair Oaks, CA

Active since October 12, 2006Opted out of Medicare · through Oct 1, 2026
9801 FAIR OAKS BLVD, SUITE 300, FAIR OAKS, CA 95628(916) 671-1780 Get Directions Write a Review

NPPES record last updated: December 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Marykelly Sutton Md NPPES

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

DR. MARYKELLY SUTTON MD (NPI 1770672230) is an individual family medicine provider in Fair Oaks, California, licensed in California (G76932) and active in the NPI registry since October 2006. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1770672230
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARYKELLY SUTTONCredential: MD
Location Address9801 FAIR OAKS BLVD, SUITE 300Fair Oaks, CA 95628-7012
Mailing Address9801 Fair Oaks Blvd, Suite 300Fair Oaks, CA 95628-7012 · (916) 671-1780
Phone(916) 671-1780
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateDecember 23, 2013
✔ NPI 1770672230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G76932
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9801 FAIR OAKS BLVD, Fair Oaks, CA 95628
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Other Identifiers 1

Medicare UPINE14755

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Marykelly Sutton Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2012 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2012
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Marykelly Sutton's NPI number?

The NPI number for Marykelly Sutton is 1770672230. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Marykelly Sutton located?

Marykelly Sutton practices at 9801 Fair Oaks Blvd Suite 300, Fair Oaks, CA 95628. The listed phone number is (916) 671-1780.

What is Marykelly Sutton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marykelly Sutton enrolled in Medicare?

No. Marykelly Sutton has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Marykelly Sutton was last updated on December 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.