Individual provider Active NPI

Jeffrey P Tuttle, MD

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1700088515
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
40860 Issued in KY
Practice address
219 E High St
Lexington, KY 40507-1409
Phone
(859) 537-7332
Fax
(859) 258-9209
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 40860 KY Primary

Addresses

Primary practice location

219 E High St
Lexington, KY 40507-1409

Mailing address

219 E High St
Lexington, KY 40507-1409
Phone (859) 537-7332

Other practice location 1

225 Walton Ave Ste 100
Lexington, KY 40502-1441
Phone (859) 537-7332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20070824000604 KY Practitioner - Psychiatry 6608968326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Kentucky College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

219 E High St
Lexington, KY 40507-1409
Phone (859) 537-7332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40860KYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Tuttle, M.D., P.L.L.C. CurrentSince Mar 1, 2010 Accepting new patients

Locations

225 Walton Ave
Ste 100
Lexington, KY 40502
Phone (859) 221-2276

219 E High St
Lexington, KY 40507
Phone (859) 221-2276

Organizations & group practices 1

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1700088515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E HIGH ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071409",
            "telephone_number": "859-537-7332",
            "fax_number": "859-258-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E HIGH ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071409",
            "telephone_number": "859-537-7332",
            "fax_number": "859-258-9209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Walton Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405021441",
            "country_code": "US",
            "telephone_number": "859-537-7332",
            "fax_number": "859-258-9209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "40860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.