Michael J Kutryb MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME68787 Issued in FL

Legal business name

MICHAEL J KUTRYB MD PA

Practice address

730 S Washington Ave
Titusville, FL 32780-4232

Phone

(321) 267-2020

NPI assigned

Mar 20, 2007

Last updated

Feb 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael J Kutryb, M.D.NPI 1649209115

Title

Physician

Phone

(321) 383-7888

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Kutryb, M.D.

  • Ophthalmology Physician
  • Titusville, FL
  • NPI 1649209115
  Medicare reassignment Care Compare group Authorized official
• Emily Anne Elliott, OD

  • Optometrist
  • Titusville, FL
  • NPI 1326716713
  Medicare reassignment Care Compare group
• Kiri J Rutledge, OD

  • Optometrist
  • Daytona Beach, FL
  • NPI 1689141889
  Medicare reassignment Care Compare group
• Bradley Leone Shoss, MD

  • Ophthalmology Physician
  • Titusville, FL
  • NPI 1013203272
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1902921737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804232",
            "telephone_number": "321-267-2020",
            "fax_number": "321-267-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804232",
            "telephone_number": "321-267-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J KUTRYB MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-02-03",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "KUTRYB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "321-383-7888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME68787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DATE OF BIRTH",
            "identifier": "12051964",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Menor, PA-C
• Anibal Mercado Jr., LMHC
• Merritt-Titus PA (Royal Oaks Medical Center)
• Sonya Dee Merritt, APRN
• David A Meyer, RPH
• McKayla Michaud, PA-C
• Michele Harrington LCSW Inc
• Miguel a Medina MD PA
• Heith A Miller, D.C.
• Jada Janielle Miller

• Ophthalmology Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.