Active NPI
William Lee Kutcher, M.D.
- Pulmonary Disease Physician
- New Hyde Park, NY
National Provider Identifier
1487765889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 146129
- Practice address
- 444 Lakeville Rd
Suite 304
New Hyde Park, NY 11042-1165 - Phone
- (516) 352-3300
- Fax
- (516) 352-3390
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 146129 | NY | Primary |
Addresses
Primary practice location
444 Lakeville Rd
Suite 304
New Hyde Park, NY 11042-1165
Mailing address
444 Lakeville Rd
Suite 304
New Hyde Park, NY 11042-1165
Phone (516) 352-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01050646 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100603000010 | NY | Practitioner - Pulmonary Disease | 7214066117 | Practice locations: New Hyde Park, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- State University of New York Downstate Medical Center, 1978
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4 Ohio Dr
Suite 200
New Hyde Park, NY 11042-1144
Phone (516) 352-3300
Hospital & facility affiliations
- North Shore University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487765889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 LAKEVILLE RD",
"address_2": "SUITE 304",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421165",
"telephone_number": "516-352-3300",
"fax_number": "516-352-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 LAKEVILLE RD",
"address_2": "SUITE 304",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421165",
"telephone_number": "516-352-3300",
"fax_number": "516-352-3390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTCHER",
"first_name": "WILLIAM",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "146129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01050646",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
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.