Active NPI
Dhaya N Kutnikar, MD
- Family Medicine Physician
- Monroe, LA
National Provider Identifier
1265429963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 023401
- Practice address
- 1805 Lamy LN
Monroe, LA 71201-3739 - Phone
- (318) 388-5383
- Fax
- (318) 388-5779
- NPI assigned
- Sep 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD.023401 | LA | |
| Family Medicine Physician | 207Q00000X | 023401 | LA | Primary |
Addresses
Primary practice location
1805 Lamy LN
Monroe, LA 71201-3739
Mailing address
1805 Lamy LN
Monroe, LA 71201-3739
Phone (318) 388-5383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1564869 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.023401 | LA | MD | Family Medicine Physician |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1265429963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 LAMY LN",
"city": "MONROE",
"state": "LA",
"postal_code": "712013739",
"telephone_number": "318-388-5383",
"fax_number": "318-388-5779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 LAMY LN",
"city": "MONROE",
"state": "LA",
"postal_code": "712013739",
"telephone_number": "318-388-5383",
"fax_number": "318-388-5779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTNIKAR",
"first_name": "DHAYA",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "MD.023401",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "023401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1564869",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.