Mitchell Adam Kutner, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME148713 Issued in FL

Practice address

2721 High Ridge Dr
Lakeland, FL 33812-5832

Phone

(863) 608-1696

NPI assigned

Mar 29, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

73.85 of 100Reported as group

Quality

62.05

Promoting interoperability

100

Improvement activities

20

Cost

75.79

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1154826105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 HIGH RIDGE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338125832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 HIGH RIDGE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338125832",
            "telephone_number": "863-608-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTNER",
        "first_name": "MITCHELL",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME148713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bret Kulpa
• Jason Kumlien, PA
• Sydney Marie Kurtz
• Mary Elizabeth Kuryla
• Hilary Kutik, LMHC
• Morris Kutner, M.D.
• Callie Kvartek, LMHC
• Kyle Furbee, D.C., P.a.
• La Bonne Maison, LLC
• Suzanne Lena Lababidi, M.D.

• Family Medicine Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.