Individual provider Active NPI

Alan R Kutner, MD

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1265438386
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME32823 Issued in FL
Practice address
4300 Alton Rd
Ste 810
Miami Beach, FL 33140-2800
Phone
(305) 674-5925
Fax
(305) 674-5927
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME32823 FL Primary

Addresses

Primary practice location

4300 Alton Rd
Ste 810
Miami Beach, FL 33140-2800

Mailing address

1801 NE 123Rd St
Ste 405
North Miami, FL 33181-2884
Phone (305) 674-5925

Other identifiers 1

IdentifierTypeStateIssuer
049620100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100921000551 FL Practitioner - Internal Medicine 0244281723 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME32823FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group of South Florida PA Internal Medicine CurrentSince Aug 1, 1978 Accepting new patients

Locations

4300 Alton Rd
Ste 810
Miami Beach, FL 33140
Phone (305) 673-0797

4300 Alton Rd
#105
Miami Beach, FL 33140
Phone (305) 858-5580

4308 Alton Rd
Ste 710
Miami Beach, FL 33140
Phone (305) 674-5925

1801 NE 123rd St
Ste 405
North Miami, FL 33181
Phone (305) 674-5925

Interoperability endpoints

  • Direct secure messaging: alan.kutner@pgsfl.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61137

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1265438386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NE 123RD ST",
            "address_2": "STE 405",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812884",
            "telephone_number": "305-674-5925",
            "fax_number": "305-674-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "STE 810",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402800",
            "telephone_number": "305-674-5925",
            "fax_number": "305-674-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTNER",
        "first_name": "ALAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME32823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049620100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.