Organization Active NPI

SBKT Enterprises, LLC

  • Orthopaedic Hand Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1932599354
Registry record updated Dec 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
Legal business name
SBKT ENTERPRISES, LLC
Practice address
1000 Des Peres Rd
Suite 210
Saint Louis, MO 63131-2050
Phone
(212) 920-1382
NPI assigned
Jan 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2016

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

Authorized official

Name
Dr. Shawn Michael Kutnik, M.D.NPI 1700032851
Title
Orthopedic Hand Surgeon
Phone
(212) 920-1382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0106X Primary

Addresses

Primary practice location

1000 Des Peres Rd
Suite 210
Saint Louis, MO 63131-2050

Mailing address

1000 Des Peres Rd
Suite 210
Saint Louis, MO 63131-2050
Phone (212) 920-1382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150716000126 MO Part B Supplier - Clinic/Group Practice 9638482961 Receives reassigned benefits from 2 practitioners
Practice locations: Kirkwood, MO; Saint Louis, MO
O20170428002037 MO DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9638482961 Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

1000 Des Peres Rd
Saint Louis, MO 63131
Phone (314) 367-7450

1000 Des Peres Rd
Ste 210
Saint Louis, MO 63131
Phone (212) 920-1382

1001 S Kirkwood Rd
Ste 120
Saint Louis, MO 63122
Phone (314) 896-4263

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481414400000",
    "number": "1932599354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD",
            "address_2": "SUITE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312050",
            "telephone_number": "212-920-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD",
            "address_2": "SUITE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312050",
            "telephone_number": "212-920-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBKT ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-24",
        "last_updated": "2016-12-11",
        "status": "A",
        "authorized_official_last_name": "KUTNIK",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ORTHOPEDIC HAND SURGEON",
        "authorized_official_telephone_number": "212-920-1382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.