Individual provider Active NPI

Eric Moore Cutti, MD

  • Family Medicine Physician
  • Boulder, CO
National Provider Identifier
1508884255
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0067206 Issued in CO
Practice address
1900 Wardenburg Drive Ucb 119
Boulder, CO 80309-9346
Phone
(303) 492-5101
Fax
(303) 492-8222
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD068455L PA
Family Medicine Physician 207Q00000X MA66161 NJ
Family Medicine Physician 207Q00000X D0055025 MD
Family Medicine Physician 207Q00000X DR.0067206 CO Primary

Addresses

Primary practice location

1900 Wardenburg Drive Ucb 119
Boulder, CO 80309-9346

Mailing address

1542 White Violet Way
Louisville, CO 80027-2436
Phone (717) 887-6176

Other identifiers 12

IdentifierTypeStateIssuer
01070001OtherPACAPITAL BLUE CROSS-WMG
1143637OtherPAAMERIHEALTH MERCY-WMG
100441OtherPAGEISINGER
30152920OtherPAAMERIHEALTH CARITAS PA
001746290MedicaidPA
024868OtherPAJOHNS HOPKINS
434744OtherPAHIGHMARK BLUE SHIELD
95963OtherPAUNISON-WMG
P002914OtherPAGATEWAY-WMG
269506OtherPAMAMSI-WMG
7298196OtherPAAETNA
758678OtherMDCAREFIRST MD BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050818000623 PA Practitioner - Family Practice 2365472396 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0067206COMDFamily Medicine Physician
D0055025MDMDFamily Medicine Physician
MA66161NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Aug 16, 1999 Accepting new patients
Wellspan Medical Group CurrentSince Aug 16, 1999 Accepting new patients
Wellspan Medical Group Current Accepting new patients
University of Colorado Past Accepting new patients

Locations

13515 Wolfe Rd
Ste C
New Freedom, PA 17349
Phone (717) 812-2501

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

1803 Mount Rose Ave
Ste B3
York, PA 17403
Phone (717) 851-6816

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1508884255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 WHITE VIOLET WAY",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272436",
            "telephone_number": "717-887-6176",
            "fax_number": "303-492-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WARDENBURG DRIVE UCB 119",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803099346",
            "telephone_number": "303-492-5101",
            "fax_number": "303-492-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTTI",
        "first_name": "ERIC",
        "middle_name": "MOORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD068455L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA66161",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0055025",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0067206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS-WMG",
            "identifier": "01070001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY-WMG",
            "identifier": "1143637",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "100441",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH CARITAS PA",
            "identifier": "30152920",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001746290",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS",
            "identifier": "024868",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "434744",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-WMG",
            "identifier": "95963",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY-WMG",
            "identifier": "P002914",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI-WMG",
            "identifier": "269506",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7298196",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD BCBS",
            "identifier": "758678",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.