Individual provider Active NPI

Roberto Benjamin Kutcher-Diaz, M.D.

  • Vascular & Interventional Radiology Physician
  • Washington, DC
National Provider Identifier
1699139337
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD600005465 Issued in DC
Practice address
2150 Pennsylvania Ave NW Ste 1000
Washington, DC 20037-3201
Phone
(240) 338-7588
NPI assigned
Apr 8, 2016
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 294518 MA
Diagnostic Radiology Physician 2085R0202X 322920-01 NY
Diagnostic Radiology Physician 2085R0202X 21257 PR
Vascular & Interventional Radiology Physician 2085R0204X 322920-01 NY
Vascular & Interventional Radiology Physician 2085R0204X 294518 MA
Vascular & Interventional Radiology Physician 2085R0204X MD600005465 DC Primary
Vascular & Interventional Radiology Physician 2085R0204X 21257 PR
Vascular & Interventional Radiology Physician 2085R0204X D0102774 MD

Addresses

Primary practice location

2150 Pennsylvania Ave NW Ste 1000
Washington, DC 20037-3201

Mailing address

267 Calle San Jorge Apt 11B
San Juan, PR 00912-3351
Phone (787) 590-1817

Other practice location 1

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

Other practice location 2

19801 Observation Dr
Germantown, MD 20876-4070
Phone (301) 557-6000

Other practice location 3

735 Ave Ponce De Leon Ste 304
San Juan, PR 00917-5025
Phone (787) 590-1817

Other names 1

  • Dr. Roberto Benjamin Kutcher-Diaz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, ND, DC, MI, IN5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20241029003432 PR Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5092717819 Reassigns benefits to 1 organization
Practice locations: San Juan, PR
I20250203000649 ND Practitioner - Interventional Radiology 5092717819 Reassigns benefits to 3 organizations
I20250217000063 DC Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5092717819 Reassigns benefits to 1 organization
I20250424002967 MI Practitioner - Diagnostic Radiology 5092717819 Reassigns benefits to 1 organization
I20251027001446 IN Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5092717819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical CenterGroup PAC ID 7416851381, 78 clinicians
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians
St Alexius Medical CenterGroup PAC ID 8426960865, 239 clinicians
Hospital Menonita Caguas IncGroup PAC ID 8921254780, 48 clinicians

Practice addresses (Care Compare)

1301 15TH Ave W
Williston, ND 58801-3821
Phone (701) 774-7400

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

615 N Michigan St
South Bend, IN 46601-1033

615 N Michigan St FL
South Bend, IN 46601-1033

900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000

Salida 21 Caguas a Cidra
Urb Turabo Garden
Caguas, PR 00725-0000
Phone (787) 434-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322920-01NYMDDiagnostic Radiology Physician
294518MAMDVascular & Interventional Radiology Physician
21257PRMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group, Inc. Current Accepting new patients
St Alexius Medical Center CurrentSince Feb 27, 2025 Accepting new patients
Community Hospice, Inc. CurrentSince May 8, 2002 Accepting new patients
Beacon Dowagiac Inc CurrentSince Feb 15, 2025 Accepting new patients
St. Alexius Medical Center CurrentSince Feb 27, 2025 Accepting new patients
Hospital Menonita Caguas Inc Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Beacon Medical Group Inc CurrentSince Nov 18, 2025 Accepting new patients
Beacon Dowagiac Inc Diagnostic Radiology CurrentSince Feb 15, 2025 Accepting new patients
Professional Services of Holy Cross CurrentSince Feb 10, 2025 Accepting new patients
Professional Services of Holy Cross CurrentSince Feb 10, 2025 Accepting new patients
Mercy Medical Center Diagnostic Radiology CurrentSince Apr 16, 2025 Accepting new patients
Mercy Medical Center Current Accepting new patients
Beacon Medical Group, Inc. Vascular & Interventional Radiology CurrentSince Nov 18, 2025 Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Oct 1, 2024 Accepting new patients
Mercy Home Care CurrentSince Apr 16, 2025 Accepting new patients
Salud Familiar En El Hogar PastSince Dec 8, 2006 Accepting new patients

Locations

3180 Solutions Ctr
Chicago, IL 60677

3369 Solutions Ctr
Chicago, IL 60677

615 N Michigan St
Fl 1
South Bend, IN 46601
Phone (574) 647-1100

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

Interoperability endpoints

  • Direct secure messaging: rkutcherdiaz888535@achce.catholichealth.net

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1699139337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 CALLE SAN JORGE APT 11B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123351",
            "telephone_number": "787-590-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
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            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "240-338-7588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Forest Glen Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209101460",
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            "telephone_number": "301-754-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19801 Observation Dr",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208764070",
            "country_code": "US",
            "telephone_number": "301-557-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 Ave Ponce De Leon Ste 304",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009175025",
            "country_code": "US",
            "telephone_number": "787-590-1817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUTCHER-DIAZ",
        "first_name": "ROBERTO",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "294518",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "322920-01",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "21257",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "322920-01",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MA",
            "license": "294518",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "DC",
            "license": "MD600005465",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "21257",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D0102774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTO",
            "last_name": "KUTCHER-DIAZ",
            "middle_name": "BENJAMIN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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Sources for this page

Verify at the official NPI Registry.