Active NPI
Charles Kutler, MD
- Infectious Disease Physician
- Kingston, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 211804
- Practice address
- 360 Washington Avr
Kingston, NY 12401-5144 - Phone
- (845) 338-7140
- Fax
- (845) 338-7141
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 53630 | KY | |
| Infectious Disease Physician | 207RI0200X | 211804 | NY | Primary |
Addresses
Primary practice location
360 Washington Avr
Kingston, NY 12401-5144
Mailing address
360 Washington Ave
Kingston, NY 12401-3702
Phone (845) 338-7140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02361677 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
600 Westage Business Ctr D
Fishkill, NY 12524-2281
Phone (845) 231-5600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Medical Associates of the Hudson Valley | Infectious Disease | Current | Accepting new patients |
| Ector County Hospital District | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Mount Kisco Medical Group | Past | Accepting new patients |
Locations
600 Westage Business Ctr Dr
#D
Fishkill, NY 12524
360 Washington Ave
Kingston, NY 12401
Phone (845) 338-7140
110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
30 Columbia St
Poughkeepsie, NY 12601
Phone (845) 483-5934
Philadelphia, PA 19195
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- ckutler142235@direct.optum.com
- ckutler@direct.health-quest.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Infectious Disease Physician
- Kingston, NY
- NPI 1700966801
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Hematology (Internal Medicine) Physician
- Fishkill, NY
- NPI 1952356362
-
- Urgent Care Clinic/Center
- Odessa, TX
- NPI 1366680555
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1063464519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 WASHINGTON AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013702",
"telephone_number": "845-338-7140",
"fax_number": "845-338-7141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 WASHINGTON AVR",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124015144",
"telephone_number": "845-338-7140",
"fax_number": "845-338-7141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTLER",
"first_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "KY",
"license": "53630",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "211804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02361677",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.