Individual provider Active NPI

Kyle Thomas Kutrovac, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sewickley, PA
National Provider Identifier
1306019658
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
MD442262 Issued in PA
Practice address
720 Blackburn Rd
Department of Emergency Medicine
Sewickley, PA 15143-1459
Phone
(412) 741-6600
NPI assigned
Apr 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 24163 WV
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD442262 PA Primary

Addresses

Primary practice location

720 Blackburn Rd
Department of Emergency Medicine
Sewickley, PA 15143-1459

Mailing address

720 Blackburn Rd
Department of Emergency Medicine
Sewickley, PA 15143-1459
Phone (412) 741-6600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kyle.t.kutrovac@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 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
I20110629000064 PA Practitioner - Emergency Medicine 3173701885 Reassigns benefits to 3 organizations
I20111207000907 WV Practitioner - Emergency Medicine 3173701885 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD442262PAMDEmergency Medical Services (Emergency Medicine) Physician
24163WVMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
Greenbrier Emergency Services, Inc. CurrentSince Dec 15, 2011 Accepting new patients
Valley Medical Facilities, Inc. CurrentSince Jul 1, 2011 Accepting new patients
West Virginia University Hospitals, Inc. CurrentSince Oct 1, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 2, 2024 Accepting new patients
Valley Medical Facilities Inc Emergency Medical Services CurrentSince Jul 1, 2011 Accepting new patients
West Virginia University Hospitals, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Valley Medical Facilities Inc Emergency Medical Services CurrentSince Jul 1, 2011 Accepting new patients
University of Pittsburgh Physicians Emergency Medical Services CurrentSince Apr 2, 2024 Accepting new patients
West Virginia University Hospitals Inc Current Accepting new patients
Wheeling Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
Valley Medical Facilities Inc Past Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

25 Heckel Rd
Mc Kees Rocks, PA 15136
Phone (412) 777-6161

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Organizations & group practices 12

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": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1306019658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 BLACKBURN RD",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431459",
            "telephone_number": "412-741-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 BLACKBURN RD",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431459",
            "telephone_number": "412-741-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTROVAC",
        "first_name": "KYLE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WV",
            "license": "24163",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "PA",
            "license": "MD442262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyle.t.kutrovac@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.