Active NPI
Patrick Aaron Kut, M.D.
- Family Medicine Physician
- Port Huron, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301062024
- Practice address
- 2603 Electric Ave
Suite 3
Port Huron, MI 48060-6588 - Phone
- (810) 985-1680
- Fax
- (810) 985-1518
- NPI assigned
- Dec 2, 2005
- Last updated
- Mar 24, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301062024 | MI | Primary |
Addresses
Primary practice location
2603 Electric Ave
Suite 3
Port Huron, MI 48060-6588
Mailing address
PO Box 610669
Port Huron, MI 48061-0669
Phone (810) 985-1884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4492675 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2603 Electric Ave
3 Lake Huron Med GRP
Port Huron, MI 48060-6588
Phone (810) 985-1680
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port Huron Physicians Medical Group PC | Family Medicine | Current | Accepting new patients |
| Aaron K. Clark MD PC | Family Medicine | Past | Accepting new patients |
Locations
4190 24th Ave
Ste 208
Fort Gratiot, MI 48059
Phone (810) 216-4000
1985 Gratiot Blvd
Marysville, MI 48040
Phone (734) 451-9692
2603 Electric Ave
Ste 3
Port Huron, MI 48060
Phone (810) 985-1680
Interoperability endpoints
- https://api.platform.athenahealth.com/11879/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lake Huron Medical Group
- Family Medicine Physician
- Fort Gratiot, MI
- NPI 1598141640
-
- Family Medicine Physician
- Port Huron, MI
- NPI 1477740090
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East China, MI
- NPI 1619941333
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1982685384
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1306227764
-
dba Blue Water Home Care & Hospice
- Home Health Agency
- Port Huron, MI
- NPI 1083601066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1063496123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 610669",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480610669",
"telephone_number": "810-985-1884",
"fax_number": "810-966-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 ELECTRIC AVE",
"address_2": "SUITE 3",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480606588",
"telephone_number": "810-985-1680",
"fax_number": "810-985-1518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUT",
"first_name": "PATRICK",
"middle_name": "AARON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301062024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4492675",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.