Active NPI
Ilana B Kutinsky, DO
- Clinical Cardiac Electrophysiology Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 5101015554
- Practice address
- 4600 Investment Dr
Suite 200
Troy, MI 48098-6365 - Phone
- (248) 267-5050
- Fax
- (248) 267-5051
- NPI assigned
- Nov 4, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 35340 | CO | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 5101015554 | MI | Primary |
Addresses
Primary practice location
4600 Investment Dr
Suite 200
Troy, MI 48098-6365
Mailing address
4600 Investment Dr
Suite 200
Troy, MI 48098-6365
Phone (248) 267-5050
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0656308955 | Other | MI | BLUE CROSS BLUE SHIELD OF MI |
| 060070669 | Other | MI | MEDICARE RAILROAD |
| 4475763 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ikutinsky20532@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Michigan State University College of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
28100 Grand River Ave
Farmington Hills, MI 48336-5970
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-0535
44250 Dequindre Rd
Sterling Heights, MI 48314-1002
Phone (248) 964-0400
4550 Investment Dr
Suite 250
Troy, MI 48098-6362
Phone (248) 267-5050
4600 Investment Dr
Suite 200
Troy, MI 48098-6375
Phone (248) 267-5050
Hospital & facility affiliations
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital - Farmington Hills
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- Quality
- 66.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 30 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35340 | CO | MD | Clinical Cardiac Electrophysiology Physician |
| 5101015554 | MI | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| Michigan Heart Group PC | Clinical Cardiac Electrophysiology | Current | Accepting new patients |
| William Beaumont Hospital | Past | Accepting new patients |
Locations
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
3601 W 13 Mile Rd
Royal Oak, MI 48073
3601 W 13 Mile Rd
Ofc
Royal Oak, MI 48073
Phone (248) 551-3000
4949 Coolidge Hwy
Royal Oak, MI 48073
Phone (248) 655-5660
16800 W 12 Mile Rd
Ste 102
Southfield, MI 48076
Phone (248) 569-9797
4600 Investment Dr
Ste 200
Troy, MI 48098
Phone (248) 267-5050
4550 Investment Dr
Ste 250
Troy, MI 48098
Phone (248) 267-5050
Interoperability endpoints
- ikutinsky1242668@epic00.shdirect.org
- ilanakutinsky@mhgpc.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Cardiovascular Disease Physician
- Troy, MI
- NPI 1033172945
Clinical Cardiac Electrophysiology
-
- Physician Assistant
- Royal Oak, MI
- NPI 1164471983
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1821089087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 INVESTMENT DR",
"address_2": "SUITE 200",
"city": "TROY",
"state": "MI",
"postal_code": "480986365",
"telephone_number": "248-267-5050",
"fax_number": "248-267-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 INVESTMENT DR",
"address_2": "SUITE 200",
"city": "TROY",
"state": "MI",
"postal_code": "480986365",
"telephone_number": "248-267-5050",
"fax_number": "248-267-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTINSKY",
"first_name": "ILANA",
"middle_name": "B",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CO",
"license": "35340",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MI",
"license": "5101015554",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MI",
"identifier": "0656308955",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "060070669",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4475763",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ikutinsky20532@direct.beaumont.edu",
"affiliation": "N",
"address_1": "4600 Investment Dr",
"address_2": "Suite 200",
"city": "Troy",
"state": "MI",
"country_code": "US",
"postal_code": "480986365",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.