Active NPI
James Stacey Klutts, M.D., PH.D.
- Clinical Pathology/Laboratory Medicine Physician
- Iowa City, IA
National Provider Identifier
1124112719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 37279
- Practice address
- 500 Newton Rd
Dept of Pathology, Room 137 MRC, Univ. of Iowa Com
Iowa City, IA 52242 - Phone
- (319) 338-0581
- NPI assigned
- Oct 3, 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 |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 2002011767 | MO | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 37279 | IA | Primary |
Addresses
Primary practice location
500 Newton Rd
Dept of Pathology, Room 137 MRC, Univ. of Iowa Com
Iowa City, IA 52242
Mailing address
601 Highway 6 W
Vamc; Pathology (113)
Iowa City, IA 52246-2292
Phone (319) 338-0581
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55071 | Other | IA | WELLMARK BCBS |
| 55110 | Other | IA | WELLMARK BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37279 | IA | MD | Clinical Pathology/Laboratory Medicine Physician |
| 2002011767 | MO | MD | Clinical Pathology/Laboratory Medicine Physician |
Interoperability endpoints
- jklutts22028@uihcdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1124112719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 HIGHWAY 6 W",
"address_2": "VAMC; PATHOLOGY (113)",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522462292",
"telephone_number": "319-338-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NEWTON RD",
"address_2": "DEPT OF PATHOLOGY, ROOM 137 MRC, UNIV. OF IOWA COM",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52242",
"telephone_number": "319-338-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUTTS",
"first_name": "JAMES",
"middle_name": "STACEY",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "MO",
"license": "2002011767",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "IA",
"license": "37279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "55071",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "55110",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.