Individual provider Active NPI

Kestutis V Kuraitis, MD

  • Obstetrics & Gynecology Physician
  • Brawley, CA
National Provider Identifier
1861480261
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G60362 Issued in CA
Practice address
751 W Legion Rd
Suite 204
Brawley, CA 92227-7732
Phone
(760) 351-2626
Fax
(760) 351-2616
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G60362 CA Primary

Addresses

Primary practice location

751 W Legion Rd
Suite 204
Brawley, CA 92227-7732

Mailing address

PO Box 651
Brawley, CA 92227-0651
Phone (760) 351-2626

Other identifiers 1

IdentifierTypeStateIssuer
00G603620MedicaidCA

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
I20120423000306 CA Practitioner - Obstetrics/Gynecology 9032105267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-3333

750 W Legion Rd
Suite 204
Brawley, CA 92227-7731

751 W Legion Rd
Suite 204
Brawley, CA 92227-7755
Phone (760) 351-2627

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of Southern California Current Accepting new patients
Kestutis V. Kuraitis, M.D., PH.D., Inc. CurrentSince Jul 6, 1999 Accepting new patients
Pioneers Memorial Healthcare District CurrentSince Sep 1, 2020 Accepting new patients
El Centro Regional Medical Center Past Accepting new patients

Locations

205 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

751 W Legion Rd
Ste 201
Brawley, CA 92227
Phone (760) 351-0025

207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

751 W Legion Rd
Ste 204
Brawley, CA 92227
Phone (760) 351-2626

Dept LA 23624
Pasadena, CA 91185

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/11d6e9da-d3d5-4352-8d64-f06e0d461c57/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kestutis.kuraitis@kvkmpi-ca.direct.office.nextgen.com

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.

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1861480261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922270651",
            "telephone_number": "760-351-2626",
            "fax_number": "760-351-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W LEGION RD",
            "address_2": "SUITE 204",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277732",
            "telephone_number": "760-351-2626",
            "fax_number": "760-351-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURAITIS",
        "first_name": "KESTUTIS",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G60362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G603620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

Verify at the official NPI Registry.