Kunnika Chutinan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME23494 Issued in FL

Practice address

800 N Highway 434 Ste 4
Altamonte Springs, FL 32714-7041

Phone

(407) 682-6612

Fax

(407) 862-9616

NPI assigned

Aug 11, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• T. Terry Chutinan MD PA

  • Surgery Physician
  • Altamonte Springs, FL
  • NPI 1790972784
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1417959289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N HIGHWAY 434 STE 4",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147041",
            "telephone_number": "407-682-6612",
            "fax_number": "407-862-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N HIGHWAY 434 STE 4",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147041",
            "telephone_number": "407-682-6612",
            "fax_number": "407-862-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUTINAN",
        "first_name": "KUNNIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME23494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4218436",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48737",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE MEDICAID",
            "identifier": "11687",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51369500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "288954",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL MEDICAID",
            "identifier": "246612",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "D55421",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John C Chow, MD
• Christopher a Rawle DMD Ms PA
• Christopher Anthony Smith, MD, LLC
• Chuck Dahan ,M.D ,P.a.
• Chuck Dahan MD PA
• T Terry Chutinan, M.D.
• Mary Cintron, MA CCC-SLP
• Natasha Nicole Cintron
• Citrus Surgical Group PA
• Christine Ciulla

• Pediatrics Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.