ALEXANDRA ANN SUTULA (MD) – Family Medicine Physician, NPI 1568968188
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in OH
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Provider Addresses for ALEXANDRA ANN SUTULA (MD)
Philadelphia Drive, Dayton, Montgomery County, Ohio, 45415, United States
DAYTON, OH 454061814
Phone: (937) 734-4141
Fax: (937) 277-7249
Type: Mailing
50 N Wilson Rd
Columbus, OH 432041214
Phone: (614) 702-7915
Type: Location
2261 Philadelphia Dr Ste 301
Dayton, OH 454061814
Phone: (937) 734-4141
Fax: (937) 277-7249
Type: Location
PO BOX 7527
DUBLIN, OH 430170727
Phone:
Type: Mailing
990 GALLOWAY RD
GALLOWAY, OH 431198293
Phone: (614) 533-6770
Type: Location
1395 NW 167TH ST
MIAMI GARDENS, FL 331695710
Phone: (614) 702-7915
Type: Mailing
50 N WILSON RD
COLUMBUS, OH 432041214
Phone: (614) 702-7915
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-08-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210825002101 | I | Family Practice | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 14 | 14 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 45406)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Family Practice, Urology | OH | |
| Physician Assistant | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| General Practice | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH |
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