Individual provider Active NPI

Roman L Kutsy, MD

  • Neurology Physician
  • Bellevue, WA
National Provider Identifier
1245206408
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD00032822 Issued in WA
Practice address
1750 112TH Ave NE Ste D160
Bellevue, WA 98004-3727
Phone
(425) 637-2340
Fax
(425) 637-0036
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD00032822 WA Primary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X MD00032822 WA

Addresses

Primary practice location

1750 112TH Ave NE Ste D160
Bellevue, WA 98004-3727

Mailing address

1750 112TH Ave NE Ste D160
Bellevue, WA 98004-3727
Phone (425) 637-2340

Other identifiers 1

IdentifierTypeStateIssuer
1118462MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20050415000212 WA Practitioner - Neurology 4981699154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurological Associates of WashingtonGroup PAC ID 7618947458, 3 clinicians

Practice addresses (Care Compare)

13107 121St Way NE
Kirkland, WA 98034-3051
Phone (425) 899-6200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Medicine, PLLC Current Accepting new patients
Neurological Associates of Washington Neurology CurrentSince Aug 4, 2012 Accepting new patients
Kutsys Medical Practice Incorporated PastSince Aug 1, 2004 Accepting new patients

Locations

2326 Rucker Ave
Everett, WA 98201
Phone (425) 259-5121

13107 121st Way NE
Kirkland, WA 98034
Phone (425) 505-2200

2007 152nd Ave NE
Redmond, WA 98052
Phone (425) 440-7760

Organizations & group practices 3

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1245206408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE STE D160",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043727",
            "telephone_number": "425-637-2340",
            "fax_number": "425-637-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE STE D160",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043727",
            "telephone_number": "425-637-2340",
            "fax_number": "425-637-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTSY",
        "first_name": "ROMAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD00032822",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "WA",
            "license": "MD00032822",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1118462",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.