NPIMap

Individual provider Active NPI

Brent Cutro, DO

  • Internal Medicine Physician
  • Schererville, IN
National Provider Identifier
1346479474
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02004954A Issued in IN
Practice address
505 W. Lincoln Highway
Schererville, IN 46375
Phone
(219) 322-3311
NPI assigned
Jul 10, 2009
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 36129147 IL
Student in an Organized Health Care Education/Training Program 390200000X PENDING IL
Internal Medicine Physician 207R00000X 02004954A IN Primary

Addresses

Primary practice location

505 W. Lincoln Highway
Schererville, IN 46375

Mailing address

505 West Lincoln Hwy
Schererville, IN 46375
Phone (219) 322-3311

Other practice location 1

505 W. Lincoln Highway
Schererville, IN 46375
Phone (219) 322-3311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bcutro83318@direct.luhs.org LOYOLA UNIVERSITY MEDICAL CENTER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120618000236 IL Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Geriatric Medicine 1658535919 Reassigns benefits to 3 organizations
I20161017002134 IN Practitioner - Internal Medicine 1658535919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

505 W US Hwy 30
Schererville, IN 46375-2650
Phone (219) 322-3311

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02004954AINMDInternal Medicine Physician
36129147ILMDGeriatric Medicine (Internal Medicine) Physician
PENDINGILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc Internal Medicine CurrentSince Oct 3, 2016 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 15, 2016 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Apr 13, 2016 Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 13, 2016 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 15, 2016 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Jun 15, 2015 Accepting new patients
Waukegan Clinic Corp Internal Medicine CurrentSince Jun 15, 2015 Accepting new patients
Adiron Dialysis LLC PastSince Jan 1, 2021 Accepting new patients
Lake Mi Mobile Doctors P.C. Geriatric Medicine Past Accepting new patients
Mobile Ultrasound LLC Past Accepting new patients
Lake Mi Mobile Doctors, P.C. Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

9532 Eagle Way
Chicago, IL 60678

29373 Network Pl
Chicago, IL 60673

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

2540 N Il Route 83
Round Lake Beach, IL 60073
Phone (847) 356-2752

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

505 W US Highway 30
Schererville, IN 46375
Phone (219) 322-3311

Interoperability endpoints

  • Direct secure messaging: bcutro68493@ssdirect.comhs.org
  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1346479474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WEST LINCOLN HWY",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "46375",
            "telephone_number": "219-322-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W. LINCOLN HIGHWAY",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "46375",
            "telephone_number": "219-322-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 W. Lincoln Highway",
            "address_purpose": "LOCATION",
            "city": "Schererville",
            "state": "IN",
            "postal_code": "46375",
            "country_code": "US",
            "telephone_number": "219-322-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUTRO",
        "first_name": "BRENT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "36129147",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02004954A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bcutro83318@direct.luhs.org",
            "affiliation": "Y",
            "affiliationName": "LOYOLA UNIVERSITY MEDICAL CENTER",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

Verify at the official NPI Registry.