Individual provider Active NPI

William Hanna Kutteh, M.D., PH.D

  • Reproductive Endocrinology Physician
  • Memphis, TN
National Provider Identifier
1710082987
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
MD27765 Issued in TN
Practice address
80 Humphreys Ctr
Suite 307
Memphis, TN 38120-2353
Phone
(901) 747-2229
Fax
(901) 747-4446
NPI assigned
Sep 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X MD27765 TN Primary
Reproductive Endocrinology Physician 207VE0102X 12804 AL
Reproductive Endocrinology Physician 207VE0102X J0561 TX

Addresses

Primary practice location

80 Humphreys Ctr
Suite 307
Memphis, TN 38120-2353

Mailing address

80 Humphreys Ctr
Suite 307
Memphis, TN 38120-2353
Phone (901) 747-2229

Other identifiers 4

IdentifierTypeStateIssuer
4002648OtherCIGNA
5699200OtherAETNA
97380OtherARBLUE SHIELD
4053400OtherTNBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2014 through Oct 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12804ALMDReproductive Endocrinology Physician
MD27765TNMDReproductive Endocrinology Physician
J0561TXMDReproductive Endocrinology Physician
27765TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Regional One Physicians Inc Past Accepting new patients
Reproductive Laboratory Inc PastSince Nov 18, 2014 Accepting new patients
Kutteh Ke Fertility Associates of Memphis, PLLC Reproductive Endocrinology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wkutteh34954@mlh.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710082987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CTR",
            "address_2": "SUITE 307",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202353",
            "telephone_number": "901-747-2229",
            "fax_number": "901-747-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CTR",
            "address_2": "SUITE 307",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202353",
            "telephone_number": "901-747-2229",
            "fax_number": "901-747-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTTEH",
        "first_name": "WILLIAM",
        "middle_name": "HANNA",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TN",
            "license": "MD27765",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "AL",
            "license": "12804",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "J0561",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4002648",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5699200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "97380",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "4053400",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.