Active NPI
Allen L Gutovitz, M.D.
- Cardiovascular Disease Physician
- Kansas City, MO
National Provider Identifier
1740248228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- R6033
- Practice address
- 4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-5939 - Phone
- (816) 931-1883
- Fax
- (816) 756-3645
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R6033 | MO | Primary |
Addresses
Primary practice location
4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-5939
Mailing address
901 E 104TH St
Mailstop 400S
Kansas City, MO 64131
Phone (816) 502-7117
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100081660D | Medicaid | KS | |
| 100081660H | Medicaid | KS | |
| 207318106 | Medicaid | MO | |
| KA1021018 | Other | KS | MEDICARE - CUSHING |
| 100081660B | Medicaid | KS | |
| P00842669 | Other | MO | RAILROAD MEDICARE |
| P00842608 | Other | KS | RAILROAD MEDICARE |
| 10081660I | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cushing Hospital Physician Services L.L.C. | Cardiovascular Disease | Past | Accepting new patients |
| Saint Luke's Cardiology Services, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Magnetic Resonance Imaging Center of Kansas LP | Past | Accepting new patients | |
| Saint Luke's Hospital of Trenton | Cardiovascular Disease | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Kansas City, MO
- NPI 1801031414
-
dba Wright Memorial Hospital
- Emergency Medicine Physician
- Trenton, MO
- NPI 1851572234
Cardiovascular Disease
-
- Emergency Medicine Physician
- Leavenworth, KS
- NPI 1194906644
Cardiovascular Disease
-
- Diagnostic Radiology Physician
- Topeka, KS
- NPI 1922066810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1740248228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST",
"address_2": "MAILSTOP 400S",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64131",
"telephone_number": "816-502-7117",
"fax_number": "816-932-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 WORNALL RD",
"address_2": "SUITE 2000",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641115939",
"telephone_number": "816-931-1883",
"fax_number": "816-756-3645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTOVITZ",
"first_name": "ALLEN",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "R6033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100081660D",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100081660H",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207318106",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - CUSHING",
"identifier": "KA1021018",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100081660B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00842669",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00842608",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10081660I",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.