Karen R Kutikoff, MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME63297 Issued in FL

Practice address

12957 Palms West Drive
Suite 201
Loxahatchee, FL 33470

Phone

(561) 790-3750

Fax

(561) 792-5874

NPI assigned

Aug 9, 2006

Last updated

Feb 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Activa Home Health Home health agency, Boynton Beach, FL, CCN 109143
• Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287
• HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269
• Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275
• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

Locations

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.

• Karen R Kutikoff MD PA

  • Internal Medicine Physician
  • Loxahatchee, FL
  • NPI 1972662229
  Medicare reassignment NPD Authorized official
• Independent Imaging, LLC

  • Radiology Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1013908912
  Medicare reassignment NPD
• Independent Imaging LLC

  • Radiology Clinic/Center
  • Royal Palm Beach, FL
  • NPI 1174989255
  NPD

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

• Good Samaritan Medical Center, Inc.

  dba Good Samaritan Medical Center

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1770515991
  Care Compare affiliation
• Infinity Health Services, Inc.

  dba Activa Home Health

  • Home Health Agency
  • Boynton Beach, FL
  • NPI 1780869982
  Care Compare affiliation
• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation
• Palms West Hospital Limited Partnership

  dba HCA Florida Palms West Hospital

  • General Acute Care Hospital
  • Loxahatchee, FL
  • NPI 1528014669
  Care Compare affiliation
• Wellington Regional Medical Center LLC

  dba Wellington Regional Medical Center

  • General Acute Care Hospital
  • Wellington, FL
  • NPI 1720078702
  Care Compare affiliation

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1710997994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12957 PALMS WEST DRIVE,",
            "address_2": "SUITE 201",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "33470",
            "telephone_number": "561-790-3750",
            "fax_number": "561-792-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12957 PALMS WEST DRIVE",
            "address_2": "SUITE 201",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "33470",
            "telephone_number": "561-790-3750",
            "fax_number": "561-792-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTIKOFF",
        "first_name": "KAREN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MD, PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME63297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "18792",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiren George DMD PA (Vision Dental)
• Jordan F Knurr, D.O.
• Prasad Konda, M.D.
• Kassandra Kostecki, D.O.
• Desai G Krishna Rao, M.D.
• L&a Home, LLC (Adult Family Care Home)
• Carlee Lakeman, APRN
• Jane Lamp, MD
• David P Laquerre, CRNA
• Peggy Larson, MA, CCC-SLP

• Internal Medicine Physician in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.