Individual provider Active NPI

Victoria Mae Kutz, PA-C

  • Physician Assistant
  • East Greenwich, RI
National Provider Identifier
1366246944
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01879 Issued in RI
Practice address
1351 S County TRL Ste 303
East Greenwich, RI 02818-5083
Phone
(401) 885-8484
NPI assigned
Apr 2, 2025
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01879 RI Primary

Addresses

Primary practice location

1351 S County TRL Ste 303
East Greenwich, RI 02818-5083

Mailing address

1351 S County TRL Ste 303
East Greenwich, RI 02818-5083
Phone (401) 885-8484

Other practice location 1

830 Eddy St
Providence, RI 02905-4810
Phone (401) 885-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416001437 RI Practitioner - Physician Assistant 7517433618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Otolaryngology-Head and Neck Surgery, Inc.Group PAC ID 3274613930, 19 clinicians

Practice addresses (Care Compare)

1351 S County TRL
Suite 303And305
East Greenwich, RI 02818-5105
Phone (401) 885-8484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA01879RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Otolaryngology-Head and Neck Surgery, Inc. Single Specialty CurrentSince Mar 2, 2026 Accepting new patients
University Otolaryngology Head & Neck Surgery Inc. Single Specialty PastSince Mar 2, 2026 Accepting new patients

Locations

1351 S County Trl
Ste 303
East Greenwich, RI 02818
Phone (401) 453-5152

1351 S County Trl
Ste 303305
East Greenwich, RI 02818
Phone (401) 885-8484

830 Eddy St
Providence, RI 02905
Phone (401) 274-2300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1366246944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL STE 303",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185083",
            "telephone_number": "401-885-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL STE 303",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185083",
            "telephone_number": "401-885-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029054810",
            "country_code": "US",
            "telephone_number": "401-885-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUTZ",
        "first_name": "VICTORIA",
        "middle_name": "MAE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.