Theodore Kutzy, M.D.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

57200 Issued in CT

Practice address

119 Dehaven Dr
Unit 133
Yonkers, NY 10703-1349

Phone

(914) 613-8784

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tkutzy20757@sbhny.direct-ci.net

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.

• Partners Medical Group, PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Getzville, NY
  • NPI 1184305153
  Medicare reassignment NPD

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1619051026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 DEHAVEN DR",
            "address_2": "UNIT 133",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107031349",
            "telephone_number": "914-613-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 DEHAVEN DR",
            "address_2": "UNIT 133",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107031349",
            "telephone_number": "914-613-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTZY",
        "first_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234789",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CT",
            "license": "57200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Bernard Kurian, M.D.
• Sheeja Kurian
• Fuad Kurjakovic
• Pradeep Kuruvilla
• Rachel Kuruvilla, OTR
• Elana Nzuzi Lawu Kuvuna
• Augustina Kwafo-Baidoo
• Deborah Kwansare
• Grace Song Kwon, RPH
• Kzs2Opticalinc

• Hospice and Palliative Medicine (Internal Medicine) Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.

Verify at the official NPI Registry.