Kutsys Medical Practice Incorporated

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00032596 Issued in WA

Legal business name

KUTSYS MEDICAL PRACTICE INCORPORATED

Practice address

1545 116TH Ave NE Ste 104
Bellevue, WA 98004-3813

Phone

(425) 637-2340

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

Tatyana KutsyNPI 1992807499

Title

Pres

Phone

(425) 637-2340

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tatyana Kutsy, M.D.

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1992807499
  Medicare reassignment NPD Authorized official
• Roman L Kutsy, MD

  • Neurology Physician
  • Bellevue, WA
  • NPI 1245206408
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1710161260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE",
            "address_2": "STE D160",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043752",
            "telephone_number": "425-637-2340",
            "fax_number": "425-637-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 116TH AVE NE STE 104",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043813",
            "telephone_number": "425-637-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUTSYS MEDICAL PRACTICE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "KUTSY",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "425-637-2340"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00032596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kushner Auburn PLLC
• James Isaac Kustin, MD
• Ynna Kutney
• Roman L Kutsy, MD
• Tatyana Kutsy, M.D.
• Kevin S. Kuwada, PA-C
• Duygu Kuzu-Basdogan, PHD
• Jacob S Kvek
• Kwang Hyo Kim, DDS, PLLC
• Brian Kwon

• Internal Medicine Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.