Individual provider Active NPI

Leila A Kutteh, M.D.

  • Medical Oncology Physician
  • Cedar Rapids, IA
National Provider Identifier
1679558340
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
32832 Issued in IA
Practice address
701 10TH St SE
HPCC 3Rd Floor
Cedar Rapids, IA 52403-1251
Phone
(319) 363-8303
Fax
(319) 364-4659
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 32832 IA
Medical Oncology Physician 207RX0202X 32832 IA Primary

Addresses

Primary practice location

701 10TH St SE
HPCC 3Rd Floor
Cedar Rapids, IA 52403-1251

Mailing address

701 10TH St SE
HPCC 3Rd Floor
Cedar Rapids, IA 52403-1251
Phone (319) 363-8303

Other identifiers 3

IdentifierTypeStateIssuer
900002412OtherIARAILROAD MEDICARE
0187203MedicaidIA
49088OtherIAWELLMARK BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20040512000841 IA Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/OncologyPractitioner - Hematology 6002805199 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32832IAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center Current Accepting new patients
Iowa Cancer Care, PLC Hematology & Oncology Current Accepting new patients
Mercy Medical Center CurrentSince Nov 1, 2010 Accepting new patients
Mercy Medical Center CurrentSince Nov 1, 2010 Accepting new patients

Locations

525 10th St SE
Cedar Rapids, IA 52403
Phone (319) 363-8303

701 10th St SE
Fl 3
Cedar Rapids, IA 52403
Phone (319) 363-8303

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1679558340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE",
            "address_2": "HPCC 3RD FLOOR",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251",
            "telephone_number": "319-363-8303",
            "fax_number": "319-364-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE",
            "address_2": "HPCC 3RD FLOOR",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251",
            "telephone_number": "319-363-8303",
            "fax_number": "319-364-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTTEH",
        "first_name": "LEILA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IA",
            "license": "32832",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IA",
            "license": "32832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "900002412",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0187203",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "49088",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.