Mwazhuwa Leonard Ray Kuretu, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

C1-0009323 Issued in DE

Practice address

400 Savannah Road
Suite C
Lewes, DE 19958-0000

Phone

(302) 644-4282

Fax

(302) 644-8734

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

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

Specialty

General PracticeAlso: Thoracic Surgery

Education

Meharry Medical College School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Life Center Complex, IncGroup PAC ID 6800038076, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwazhuwa.kuretu@thelifecentercomplexinc.chartmakerdirect.com

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.

• The Life Center Complex, Inc

  • Community Health Clinic/Center
  • Wilmington, DE
  • NPI 1770808578
  Medicare reassignment Care Compare group NPD
• Beebe Physician Network Inc.

  dba Beebe Medical Group

  • Internal Medicine Physician
  • Lewes, DE
  • NPI 1730133992
  Medicare reassignment NPD
• Christiana Care Health Services, Inc

  dba CCHS Pmri

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
  • NPI 1770568107
  Medicare reassignment NPD
• Christiana Care Health Services, Inc

  dba CCHS Cardiac Surgery

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Newark, DE
  • NPI 1275615643
  NPD
• State of Delaware-Stockley

  • Intellectual Disabilities Intermediate Care Facility
  • Georgetown, DE
  • NPI 1962557561
  NPD
• The Life Center Complex, Inc

  dba Life Health @ Stubbs

  • Student Health Clinic/Center
  • Wilmington, DE
  • NPI 1366114522
  NPD
• Christiana Care Health Services Inc

  dba CCHS Concord - Neurology

  • Neurology Physician
  • Chadds Ford, PA
  • NPI 1881228484
  NPD
• The Life Center Complex, Inc

  • Student Health Clinic/Center
  • New Castle, DE
  • NPI 1043798366
  NPD (past)
• Philadelphia Health & Education Corporation

  dba Drexel Gynecology-Oncology Services

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1356496038
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1881633220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33663 BAYVIEW MEDICAL DR",
            "address_2": "UNIT 1",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581663",
            "telephone_number": "302-645-3555",
            "fax_number": "302-644-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SAVANNAH ROAD",
            "address_2": "SUITE C",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199580000",
            "telephone_number": "302-644-4282",
            "fax_number": "302-644-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURETU",
        "first_name": "MWAZHUWA",
        "middle_name": "LEONARD RAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD026971E",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "DE",
            "license": "C1-0009323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001144702",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Kulhanek, RN
• Patrick F Kulina, D.P.M.
• Ritesh Kumar, M.D
• Grant Kuns
• Thomas J Kuon, DMD
• Delbert J Kwan, M.D.
• Lara Kwetkauskie, RN BSN CEN
• Charles J Labin, DMD
• Tashai T.a. Lamadieu, OT
• Corlene Sue Landis, RN

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Lewes, DE
• Providers in Lewes, DE by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.

Verify at the official NPI Registry.