Active NPI
John P Tuttle Jr., MD
- Urology Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 19237
- Practice address
- 160 N Eagle Creek
Ste 301
Lexington, KY 40509 - Phone
- (859) 263-1300
- Fax
- (859) 263-4395
- NPI assigned
- Nov 23, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 19237 | KY | Primary |
Addresses
Primary practice location
160 N Eagle Creek
Ste 301
Lexington, KY 40509
Mailing address
160 N Eagle Creek
Ste 301
Lexington, KY 40509
Phone (859) 263-1300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64192370 | Medicaid | KY | |
| 000000047525 | Other | KY | BCBS |
| 106698 | Other | KY | UMWA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Kentucky College of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 Ky Hwy 36 E
Suite 1D
Cynthiana, KY 41031-7490
Phone (859) 235-3638
Hospital & facility affiliations
- Harrison Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrison Memorial Hospital Inc | Current | Accepting new patients | |
| Clark Regional Physician Practices, LLC | Urology | Current | Accepting new patients |
| Clark Regional Physician Practices LLC | Current | Accepting new patients |
Locations
2300 Concrete Rd
Carlisle, KY 40311
Phone (606) 289-2283
439 E Pleasant St
Cynthiana, KY 41031
Phone (859) 234-4494
1210 KY Highway 36 E
Ste G3
Cynthiana, KY 41031
Phone (859) 234-9222
1210 KY Highway 36 E
Ste 1D
Cynthiana, KY 41031
Phone (859) 234-1707
1114 McCann Dr
Winchester, KY 40391
Phone (606) 737-5307
225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- john.tuttle.1@21577.direct.athenahealth.com
- hqu7129@yourcarecommunity.org
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.
-
- Multi-Specialty Clinic/Center
- Cynthiana, KY
- NPI 1669615233
-
- Rural Health Clinic/Center
- Mt Sterling, KY
- NPI 1780356253
-
- Durable Medical Equipment & Medical Supplies
- Winchester, KY
- NPI 1114282605
Urology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cynthiana, KY
- NPI 1629084702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396728358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 N EAGLE CREEK",
"address_2": "STE 301",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40509",
"telephone_number": "859-263-1300",
"fax_number": "859-263-4395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 N EAGLE CREEK",
"address_2": "STE 301",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40509",
"telephone_number": "859-263-1300",
"fax_number": "859-263-4395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTTLE",
"first_name": "JOHN",
"middle_name": "P",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "KY",
"license": "19237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64192370",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000047525",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "106698",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.