Individual provider Active NPI

Johannes Craig Kutten, MD, PHD

  • Anesthesiology Physician
  • Silver Spring, MD
National Provider Identifier
1124523873
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0093730 Issued in MD
Practice address
1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone
(301) 754-7000
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0093730 MD Primary

Addresses

Primary practice location

1500 Forest Glen Rd
Silver Spring, MD 20910-1460

Mailing address

2730 University Blvd W Ste 104
Silver Spring, MD 20902-1979
Phone (301) 942-8799

Other practice location 1

19801 Observation Dr
Germantown, MD 20876-4070
Phone (301) 557-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20220630000610 DC Practitioner - Anesthesiology 0648527440 Reassigns benefits to 5 organizations
I20221005002846 MD Practitioner - Anesthesiology 0648527440 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Pittsburgh School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Anesthesiology Associate, PA 17 clinicians

Practice addresses (Care Compare)

10700 Charter Dr
Suite 301
Columbia, MD 21044-3695
Phone (410) 910-2301

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0093730MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Oct 3, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Oct 3, 2022 Accepting new patients
Holy Cross Anesthesiology Associate PA Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Comfort Sedation LLC CurrentSince Dec 28, 2022 Accepting new patients
Anesthesia Company, LLC Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

700 Melvin Ave
Ste 7A
Annapolis, MD 21401
Phone (240) 766-2734

810 Bestgate Rd
Ste 120
Annapolis, MD 21401

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

10700 Charter Dr
Ste 301
Columbia, MD 21044
Phone (410) 730-0099

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

11400 Rockville Pike
Ste C25
Rockville, MD 20852
Phone (301) 761-4760

10110 Molecular Dr
Ste 100
Rockville, MD 20850
Phone (301) 838-0437

8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

2730 University Blvd W
Ste 104
Wheaton, MD 20902
Phone (301) 942-8799

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1124523873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 UNIVERSITY BLVD W STE 104",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209021979",
            "telephone_number": "301-942-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FOREST GLEN RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101460",
            "telephone_number": "301-754-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19801 Observation Dr",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208764070",
            "country_code": "US",
            "telephone_number": "301-557-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUTTEN",
        "first_name": "JOHANNES",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0093730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.