Individual provider Active NPI

Stephen M Kutz, M.D., FACC

  • Cardiovascular Disease Physician
  • Westerly, RI
National Provider Identifier
1225051287
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD-10264 Issued in RI
Practice address
45 Wells St
Suite 102
Westerly, RI 02891-2927
Phone
(401) 596-4499
Fax
(401) 596-6360
NPI assigned
Jul 25, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD-10264 RI Primary
Cardiovascular Disease Physician 207RC0000X 040007 CT

Addresses

Primary practice location

45 Wells St
Suite 102
Westerly, RI 02891-2927

Mailing address

45 Wells St
Suite 102
Westerly, RI 02891-2927
Phone (401) 596-4499

Other identifiers 2

IdentifierTypeStateIssuer
007008112MedicaidRI
003115161MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 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
I20110303000986 RI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 1456533942 Reassigns benefits to 2 organizations
I20111227000669 CT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 1456533942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
JS Weill Medical College, Cornell University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

200 Sandy Hollow Rd
Mystic, CT 06355-1744
Phone (860) 572-2344

45 Wells St
Suite 102
Westerly, RI 02891-2927
Phone (401) 596-4499

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199225NYMDLicensed Practical Nurse
040007CTMDCardiovascular Disease Physician
MD-10264RIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Cardiovascular Disease CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince Apr 1, 2017 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
The Westerly Hospital Past Accepting new patients

Locations

420 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-4258

420 Saybrook Rd
Ste A
Middletown, CT 06457
Phone (860) 347-4258

100 Perkins Farm Dr
Ste 301
Mystic, CT 06355
Phone (860) 572-5400

200 Sandy Hollow Rd
Mystic, CT 06355
Phone (860) 536-4916

23 Clara Dr
Mystic, CT 06355
Phone (860) 443-7907

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

35 Wells St
Lowr
Westerly, RI 02891
Phone (401) 348-3865

45 Wells St
Ste 102
Westerly, RI 02891
Phone (401) 596-4499

Interoperability endpoints

  • Direct secure messaging: stephen.kutz@xdr.hhchealthdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225051287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WELLS ST",
            "address_2": "SUITE 102",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912927",
            "telephone_number": "401-596-4499",
            "fax_number": "401-596-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WELLS ST",
            "address_2": "SUITE 102",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912927",
            "telephone_number": "401-596-4499",
            "fax_number": "401-596-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTZ",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD-10264",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "040007",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007008112",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003115161",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.