Individual provider Active NPI

John P Tuttle Jr., MD

  • Urology Physician
  • Lexington, KY
National Provider Identifier
1396728358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
19237 Issued in KY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
64192370MedicaidKY
000000047525OtherKYBCBS
106698OtherKYUMWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122000839 KY Practitioner - Urology 4688571102 Reassigns benefits to 2 organizations

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
Harrison Memorial HospitalGroup PAC ID 4284784067, 60 clinicians

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 Hospital, Cynthiana, KY, CCN 180079

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Memorial Hospital Inc CurrentSince Nov 7, 2023 Accepting new patients
Clark Regional Physician Practices, LLC Urology CurrentSince Nov 4, 2017 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Nov 4, 2017 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

  • Direct secure messaging: john.tuttle.1@21577.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.