Individual provider Active NPI

Robert P Cutillo, MD

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1760443733
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37787 Issued in CO
Practice address
3800 York St.
Inner City Health Center
Denver, CO 80205-3972
Phone
(303) 296-1767
Fax
(303) 296-9313
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37787 CO Primary

Addresses

Primary practice location

3800 York St.
Inner City Health Center
Denver, CO 80205-3972

Mailing address

3141 York St
Denver, CO 80205-4166
Phone (303) 296-1767

Other identifiers 1

IdentifierTypeStateIssuer
65558774MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150922001823 CO Order and Referring Only - General PracticePractitioner - General Practice 7618992751
I20161129002055 CO Order and Referring Only - Family PracticePractitioner - Family Practice 7618992751

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1760443733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 YORK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802054166",
            "telephone_number": "303-296-1767",
            "fax_number": "303-296-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 YORK ST.",
            "address_2": "INNER CITY HEALTH CENTER",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053972",
            "telephone_number": "303-296-1767",
            "fax_number": "303-296-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTILLO",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "37787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65558774",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.