Individual provider Active NPI

Adnan Cutuk, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Diego, CA
National Provider Identifier
1104081363
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A91047 Issued in CA
Practice address
1222 Opal St
San Diego, CA 92109-1832
Phone
(619) 808-3338
NPI assigned
Jul 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A91047 CA Primary

Addresses

Primary practice location

1222 Opal St
San Diego, CA 92109-1832

Mailing address

1222 Opal St
San Diego, CA 92109-1832
Phone (619) 808-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724010478 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3577688308 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A91047CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Jul 1, 2015 Accepting new patients
California Orthopaedic Institute Medical Associates, Inc CurrentSince Apr 1, 2019 Accepting new patients
California Orthopaedic Institute Medical Associates, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Scripps Health Current Accepting new patients
Mercy Orthopaedic Trauma Services, LLC Past Accepting new patients
Louis Levy Jr. M.D. a Professional Corporation PastSince Sep 1, 2017 Accepting new patients

Locations

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

Interoperability endpoints

  • Direct secure messaging: acutuk80930@scrippshlth.medalliesdirect.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1104081363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 OPAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091832",
            "telephone_number": "619-808-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 OPAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091832",
            "telephone_number": "619-808-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTUK",
        "first_name": "ADNAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-26",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A91047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.