Individual provider Active NPI

Michael Lewis Tutt, M.D

  • Rheumatology Physician
  • Fort Defiance, AZ
National Provider Identifier
1114003183
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
20226 Issued in AZ
Practice address
Usphs IHS Federal Facility
Fort Defiance Hospital
Fort Defiance, AZ 86504-0649
Phone
(928) 729-8000
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 20226 AZ Primary

Addresses

Primary practice location

Usphs IHS Federal Facility
Fort Defiance Hospital
Fort Defiance, AZ 86504-0649

Mailing address

PO Box 649
Fort Defiance, AZ 86504-0649
Phone (928) 729-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090107000118 TX Practitioner - Internal MedicinePractitioner - Rheumatology 8224191937 Reassigns benefits to 2 organizations
I20240221000894 AZ Practitioner - Internal Medicine 8224191937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Tufts University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winslow Indian Health Care Center IncGroup PAC ID 4284548991, 99 clinicians
Navajo Health Foundation-Sage Memorial Hospital, Inc.Group PAC ID 2163332347, 60 clinicians

Practice addresses (Care Compare)

500 Indiana Ave
Winslow, AZ 86047-2169

500 N Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646

State Hwy 264 JCT Hwy 191
Ganado, AZ 86505-0457
Phone 92875545004933

SWC Navajo Route 15 and 60
1 Medical Center Dr
Dilkon, AZ 86047-2169
Phone (928) 289-4646

Hospital & facility affiliations

  • Sage Memorial Hospital Hospital, Ganado, AZ, CCN 031309

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Mar 28, 2010 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Nov 25, 2008 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. CurrentSince Feb 1, 2024 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation Current Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital Inc CurrentSince Feb 1, 2024 Accepting new patients
Winslow Indian Health Care Center, Inc Current Accepting new patients
Dilkon Medical Center CurrentSince Nov 25, 2008 Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients

Locations

826 W Desmond St
Winslow, AZ 86047
Phone (928) 289-4678

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

500 Indiana Ave
Winslow, AZ 86047

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114003183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649",
            "telephone_number": "928-729-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USPHS IHS FEDERAL FACILITY",
            "address_2": "FORT DEFIANCE HOSPITAL",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649",
            "telephone_number": "928-729-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTT",
        "first_name": "MICHAEL",
        "middle_name": "LEWIS",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AZ",
            "license": "20226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Defiance, AZ

Sources for this page

Verify at the official NPI Registry.