Thomas John Kuettel, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

166689 Issued in NY

Practice address

9556 State Highway 7, Unit 2
Worcester, NY 12197-1219

Phone

(518) 281-7987

Fax

(607) 397-4052

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Addiction MedicineAlso: Family Practice

Education

Albany Medical College of Union University, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Alcoholism & Substance Abuse Council of Schenectady County, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Schenectady, NY
  • NPI 1437221355
  NPD (past)
• Carver Community Center of Schenectady, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Schenectady, NY
  • NPI 1194819854
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1326106956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "WORCESTER",
            "state": "NY",
            "postal_code": "121970637",
            "telephone_number": "607-397-4052",
            "fax_number": "607-397-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9556 STATE HIGHWAY 7, UNIT 2",
            "city": "WORCESTER",
            "state": "NY",
            "postal_code": "121971219",
            "telephone_number": "518-281-7987",
            "fax_number": "607-397-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUETTEL",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "166689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01246217",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aurelia Osborn Fox Memorial Hospital Sohc
• Taylor Decook
• Diane P Fedor, PT
• Robert Garfield, DO
• Betsy Rodgers, FNP
• Nancy Lee Roubideaux, LMSW
• Robert Scott Schreiner, M.S.W., L.C.S.W.
• Worcester Central School
• Michele A Wright, MSED

• All providers in Worcester, NY
• Addiction Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.