Individual provider Active NPI

Kirk J Hutjens, MD

  • Internal Medicine Physician
  • Oviedo, FL
National Provider Identifier
1376650895
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME132631 Issued in FL
Practice address
1890 W County Road 419 Ste 2010
Oviedo, FL 32765-4402
Phone
(407) 635-5560
Fax
(321) 842-1176
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36423 WI
Internal Medicine Physician 207R00000X ME132631 FL Primary

Addresses

Primary practice location

1890 W County Road 419 Ste 2010
Oviedo, FL 32765-4402

Mailing address

1890 W County Road 419 Ste 2010
Oviedo, FL 32765-4402
Phone (407) 635-5560

Other identifiers 1

IdentifierTypeStateIssuer
32429400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20171128003385 FL Practitioner - Internal Medicine 7517003528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Wisconsin School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

21 Columbia St
Orlando, FL 32806-1133
Phone (321) 841-6600

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36423WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Internal Medicine CurrentSince Oct 16, 2017 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Physicians Network Inc Internal Medicine CurrentSince Apr 24, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 16, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Orlando Health Medical Group Inc Internal Medicine Past Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

9964 University Blvd
Orlando, FL 32817
Phone (407) 261-2900

7408 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 381-7387

1890 W County Road 419
Ste 2010
Oviedo, FL 32765
Phone (407) 635-3340

1933 Dundee Dr
Winter Park, FL 32792
Phone (407) 622-2647

Interoperability endpoints

  • Direct secure messaging: khutjens104512@orlandohealth.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376650895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 W COUNTY ROAD 419 STE 2010",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654402",
            "telephone_number": "407-635-5560",
            "fax_number": "321-842-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 W COUNTY ROAD 419 STE 2010",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654402",
            "telephone_number": "407-635-5560",
            "fax_number": "321-842-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTJENS",
        "first_name": "KIRK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-03-07",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "36423",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME132631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32429400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.