Mehmet Talha Kutlu, M.D.
Individual provider Active NPI Internal Medicine Physician · Chciago, IL
NPI 1497208573 · NPPES record last updated Jul 26, 2016
Key facts
- NPI
- 1497208573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 125.067999 (IL)
- Practice address
- 4646 N Marine
Dr Weiss Memorial Hospital
Chciago, IL 60640 - Phone
- (773) 878-8700
- NPI assigned
- Jul 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Muscogee Hospitalist Services, LLC
Practice addresses (Care Compare)
710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1000
Hospital & facility affiliations
- Piedmont Columbus Regional Midtown
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in WV, VA, DC, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190816001814 | WV | Practitioner - Internal Medicine | 8820386899 | Reassigns benefits to 2 organizations |
| I20230512000421 | VA | Practitioner - Internal Medicine | 8820386899 | Reassigns benefits to 1 organization |
| I20230517001729 | DC | Practitioner - Internal Medicine | 8820386899 | Reassigns benefits to 1 organization |
| I20250411001416 | GA | Practitioner - Internal Medicine | 8820386899 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.067999 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates P.a., P.C. | Current |
Accepting new patients | |
| Emergency Medicine Associates, P.a.,P.C. | Internal Medicine | Current |
Accepting new patients |
| City Hospital, Inc. | Internal Medicine | Current |
Accepting new patients |
| Hospitalist Medicine Physicians of West Virginia- TCG PLLC | Internal Medicine | Current |
Accepting new patients |
| Muscogee Hospitalist Services, LLC | Current |
Accepting new patients | |
| Benning Hospitalist Services, LLC | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of West Virginia, PLLC | Internal Medicine | Current |
Accepting new patients |
| City Hospital Inc | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current |
Accepting new patients |
| The Medical Center Inc | Past | Accepting new patients |
Locations
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.067999 | IL | Yes |
Addresses
Primary practice location
4646 N Marine
Dr Weiss Memorial Hospital
Chciago, IL 60640
Mailing address
1134 W Granville Ave Apt 902
Chicago, IL 60660-5050
Phone (773) 682-9743
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.