Jorge Luis Kutugata, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G9139 Issued in TX

Practice address

902 S Airport Dr Ste 1
Weslaco, TX 78596-6649

Phone

(956) 969-2904

Fax

(956) 969-1650

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Pediatric Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Clinica Familiar San Jose, PA

  • Family Medicine Physician
  • Mercedes, TX
  • NPI 1174604763
  Medicare reassignment
• Rainbow Pediatric Clinic

  • Pediatrics Physician
  • Weslaco, TX
  • NPI 1689755274
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital at Renaissance, LTD

  dba DHR Health

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1053317362
  Care Compare affiliation
• Doctors Hospital at Renaissance, LTD

  dba DHR Health

  • Transplant Surgery Physician
  • McAllen, TX
  • NPI 1104338052

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1285748996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S AIRPORT DR STE 1",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966649",
            "telephone_number": "956-969-2904",
            "fax_number": "956-969-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S AIRPORT DR STE 1",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966649",
            "telephone_number": "956-969-2904",
            "fax_number": "956-969-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTUGATA",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G9139",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G9139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PLANS",
            "identifier": "117052",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "85M551",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sriharsha Koneru
• Mounika Kotte, MD
• Elizabeth Gopal Krishnan, MD
• Subram Gopal Krishnan, MD
• Neha Kumari, MD
• Sai Lakhan Kyasa, MD
• L J Pharmacy Relief, Inc (Barrachina Pharmacy)
• La Feria Health Group (La Feria Childrens Clinic)
• La Feria Vision Center, PA (Weslaco Vision Center)
• La Gloria Home Provider Services LLC

• Pediatrics Physician in Weslaco, TX
• Providers in Weslaco, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.