Individual provider Active NPI

Jeffrey S Kutcher, MD

  • Neurology Physician
  • Brighton, MI
National Provider Identifier
1194806570
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301073973 Issued in MI
Practice address
8273 Grand River Rd 210
Brighton, MI 48114-9346
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Psychiatry & Neurology) Physician 2084S0010X 4301073973 MI
Neurology Physician 2084N0400X 4301073973 MI Primary

Addresses

Primary practice location

8273 Grand River Rd 210
Brighton, MI 48114-9346

Mailing address

8273 Grand River Rd Ste 210
Brighton, MI 48114-9346
Phone (810) 522-6080

Other practice location 1

8273 Grand River Rd 210
Brighton, MI 48114-9346
Phone (866) 974-2673

Other practice location 2

44191 Plymouth Oaks Blvd Ste 400
Plymouth, MI 48170-6532
Phone (248) 485-7042

Other practice location 3

8273 Grand River Rd Ste 210
Brighton, MI 48114-9346
Phone (248) 485-7042

Other practice location 4

690 Amsterdam St
Detroit, MI 48202-3410
Phone (313) 972-4060

Other identifiers 1

IdentifierTypeStateIssuer
4417296MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040420000421 MI Practitioner - NeurologyPractitioner - Psychiatry 1153316930 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301073973MIMDSports Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System CurrentSince Jan 15, 2019 Accepting new patients
Bronson Methodist Hospital Neurology CurrentSince Oct 3, 2016 Accepting new patients
Henry Ford Health System Neurology CurrentSince Jan 15, 2019 Accepting new patients

Locations

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

690 Amsterdam St
Detroit, MI 48202
Phone (313) 623-2109

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

315 Turwill Ln
Kalamazoo, MI 49006
Phone (269) 343-8170

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

Interoperability endpoints

  • Direct secure messaging: jeffrey.kutcher.1@16948.direct.athenahealth.com
  • Direct secure messaging: jkutcher608834@direct.hfhs.org

Organizations & group practices 4

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1194806570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8273 GRAND RIVER RD STE 210",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149346",
            "telephone_number": "810-522-6080",
            "fax_number": "810-522-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8273 GRAND RIVER RD 210",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149346",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8273 GRAND RIVER RD 210",
            "address_purpose": "LOCATION",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149346",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44191 Plymouth Oaks Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481706532",
            "country_code": "US",
            "telephone_number": "248-485-7042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8273 Grand River Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481149346",
            "country_code": "US",
            "telephone_number": "248-485-7042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "690 Amsterdam St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482023410",
            "country_code": "US",
            "telephone_number": "313-972-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUTCHER",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0010X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sports Medicine",
            "state": "MI",
            "license": "4301073973",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301073973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4417296",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.