Individual provider Active NPI

Marilyn M Kutzscher, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1326150384
Registry record updated Feb 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G49471 Issued in CA
Practice address
2100 Webster St Ste 501
San Francisco, CA 94115-2381
Phone
(415) 923-3560
Fax
(415) 923-3525
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2014

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 G49471 CA Primary

Addresses

Primary practice location

2100 Webster St Ste 501
San Francisco, CA 94115-2381

Mailing address

2100 Webster St Ste 501
San Francisco, CA 94115-2381
Phone (415) 923-3560

Other identifiers 1

IdentifierTypeStateIssuer
G49471OtherCASTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 19, 2017 through Apr 19, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49471CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marilyn Kutzscher MD Inc Internal Medicine PastSince Aug 1, 2012 Accepting new patients

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391299200000",
    "number": "1326150384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 501",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152381",
            "telephone_number": "415-923-3560",
            "fax_number": "415-923-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 501",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152381",
            "telephone_number": "415-923-3560",
            "fax_number": "415-923-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTZSCHER",
        "first_name": "MARILYN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G49471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "G49471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.