NPIMap

Individual provider Active NPI

James William Kutchback, DPM

  • Foot & Ankle Surgery Podiatrist
  • The Woodlands, TX
National Provider Identifier
1205844370
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1755 Issued in TX
Practice address
17191 St Lukes Way
Suite 201
The Woodlands, TX 77384-8042
Phone
(936) 273-3311
Fax
(936) 273-3368
NPI assigned
Aug 4, 2006
Last updated
Oct 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1755 TX Primary

Addresses

Primary practice location

17191 St Lukes Way
Suite 201
The Woodlands, TX 77384-8042

Mailing address

71 N Summer Cloud Dr
The Woodlands, TX 77381-6224
Phone (936) 273-7831

Other identifiers 1

IdentifierTypeStateIssuer
180070801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051028000318 TX Practitioner - Podiatry 0143247189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kutchback Podiatry PAGroup PAC ID 5597779983, 2 clinicians

Practice addresses (Care Compare)

1100 W Bluff
Woodville, TX 75979-4738
Phone (936) 273-3311

17191 Saint Lukes Way
Suite 290
The Woodlands, TX 77384-8043
Phone (936) 273-3311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue344
Removal of nail tissue812
Removal or shaving of skin growth532
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kutchback Podiatry, PA Foot & Ankle Surgery CurrentSince Jun 1, 2012 Accepting new patients

Locations

9201 Pinecroft Dr
Shenandoah, TX 77380
Phone (832) 246-8000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

17191 St Lukes Way
Ste 201
The Woodlands, TX 77384
Phone (936) 273-2016

17191 St Lukes Way
Ste 290
The Woodlands, TX 77384
Phone (281) 440-3005

9004 Forest Xing
Ste C
The Woodlands, TX 77381
Phone (281) 298-5053

1100 W Bluff St
Woodville, TX 75979
Phone (409) 283-6400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1205844370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 N SUMMER CLOUD DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773816224",
            "telephone_number": "936-273-7831",
            "fax_number": "936-273-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17191 ST LUKES WAY",
            "address_2": "SUITE 201",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848042",
            "telephone_number": "936-273-3311",
            "fax_number": "936-273-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTCHBACK",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180070801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.