Active NPI
Eric Moore Cutti, MD
- Family Medicine Physician
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0067206
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01070001 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 1143637 | Other | PA | AMERIHEALTH MERCY-WMG |
| 100441 | Other | PA | GEISINGER |
| 30152920 | Other | PA | AMERIHEALTH CARITAS PA |
| 001746290 | Medicaid | PA | |
| 024868 | Other | PA | JOHNS HOPKINS |
| 434744 | Other | PA | HIGHMARK BLUE SHIELD |
| 95963 | Other | PA | UNISON-WMG |
| P002914 | Other | PA | GATEWAY-WMG |
| 269506 | Other | PA | MAMSI-WMG |
| 7298196 | Other | PA | AETNA |
| 758678 | Other | MD | CAREFIRST 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0067206 | CO | MD | Family Medicine Physician |
| D0055025 | MD | MD | Family Medicine Physician |
| MA66161 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | 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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Plastic and Reconstructive Surgery Physician
- York, PA
- NPI 1245490515
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Denver, CO
- NPI 1477553014
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.