Active NPI
Nadeem Kutaish, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35063251
- Practice address
- 3170 W Central Ave
Toledo, OH 43606-2945 - Phone
- (419) 534-3500
- Fax
- (419) 534-2608
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35063251 | OH | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301038508 | MI |
Addresses
Primary practice location
3170 W Central Ave
Toledo, OH 43606-2945
Mailing address
3170 W Central Ave
Toledo, OH 43606-2945
Phone (419) 534-3500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2268979 | Medicaid | OH | |
| 4324553 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 534-3500
818 Riverside Ave
Adrian, MI 49221-1446
Phone (517) 265-0262
Hospital & facility affiliations
- Promedica Toledo Hospital
- Promedica Monroe Regional Hospital
- Promedica Charles and Virginia Hickman Hospital
- Memorial Hospital
- Bay Park Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35063251 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Laboratory, P.C. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Consultants in Laboratory Medicine of Greater Toledo | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Haematology-Oncology Associates of Ohio and Michigan PC | Current | Accepting new patients |
Locations
818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711
274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400
2620 Horizon Dr SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 530-3344
500 E Pottawatamie St
Tecumseh, MI 49286
Phone (517) 266-0525
3170 W Central Ave
Toledo, OH 43606
Phone (567) 803-9706
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Toledo, OH
- NPI 1982673372
MI
-
- Clinical Medical Laboratory
- Grand Rapids, MI
- NPI 1285618447
Anatomic Pathology & Clinical Pathology
-
- Hematology & Oncology Physician
- Lambertville, MI
- NPI 1841296605
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oregon, OH
- NPI 1598765539
-
- General Acute Care Hospital
- Fremont, OH
- NPI 1851338149
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
-
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1346209558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436062945",
"telephone_number": "419-534-3500",
"fax_number": "419-534-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3170 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436062945",
"telephone_number": "419-534-3500",
"fax_number": "419-534-2608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTAISH",
"first_name": "NADEEM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35063251",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "4301038508",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2268979",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4324553",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.