Individual provider Active NPI

Geeta Raman Kutty, M.D

  • Gastroenterology Physician
  • San Jose, CA
National Provider Identifier
1821386962
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
158918 Issued in CA
Practice address
2331 Montpelier Dr Ste B
San Jose, CA 95116
Phone
(408) 347-9001
Fax
(408) 347-9004
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 158918 CA Primary

Addresses

Primary practice location

2331 Montpelier Dr Ste B
San Jose, CA 95116

Mailing address

2331 Montpelier Dr Ste B
San Jose, CA 95116-1673
Phone (408) 347-9001

Other practice location 1

231 OConnor Dr
San Jose, CA 95128-1624
Phone (408) 347-9001

Other practice location 2

2331 Montpelier Dr Ste B
San Jose, CA 95116
Phone (408) 347-9001

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.sjgi.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20190308002570 CA Practitioner - Gastroenterology 8820316326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Jose Gastroenterology, Inc.Group PAC ID 5597745851, 11 clinicians

Practice addresses (Care Compare)

2331 Montpelier Dr
Suite B
San Jose, CA 95116-1673
Phone (408) 347-9001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.95 of 100Reported as individual
Quality
95.85
Improvement activities
40
Cost
79.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy131
Upper gastrointestinal (GI) endoscopy for acid reflux78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158918CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Jose Gastroenterology, Inc. Gastroenterology CurrentSince Mar 4, 2019 Accepting new patients
O'Connor Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

231 Oconnor Dr
San Jose, CA 95128
Phone (408) 213-3937

2331 Montpelier Dr
Ste B
San Jose, CA 95116
Phone (408) 347-9001

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gkutty132971@santaclaravalley.direct-ci.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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1821386962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 MONTPELIER DR STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161673",
            "telephone_number": "408-347-9001",
            "fax_number": "408-347-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 MONTPELIER DR STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95116",
            "telephone_number": "408-347-9001",
            "fax_number": "408-347-9004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 OConnor Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281624",
            "country_code": "US",
            "telephone_number": "408-347-9001",
            "fax_number": "408-347-9004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2331 Montpelier Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95116",
            "country_code": "US",
            "telephone_number": "408-347-9001",
            "fax_number": "408-347-9004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUTTY",
        "first_name": "GEETA",
        "middle_name": "RAMAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "158918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.sjgi.com",
            "affiliation": "N",
            "address_1": "2331 Montpelier Dr Ste B",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951161673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.