Individual provider Active NPI

Olga Kristof-Kuteyeva, MD

  • Cardiovascular Disease Physician
  • Clearwater, FL
National Provider Identifier
1942435862
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME107253 Issued in FL
Practice address
455 Pinellas St Ste 330
Clearwater, FL 33756-3369
Phone
(727) 724-8611
Fax
(727) 724-0425
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME107253 FL Primary

Addresses

Primary practice location

455 Pinellas St Ste 330
Clearwater, FL 33756-3369

Mailing address

PO Box 10744
Clearwater, FL 33757-8744
Phone (727) 532-0002

Other identifiers 3

IdentifierTypeStateIssuer
149ZWOtherFLBLUE CROSS BLUE SHIELD
003780800MedicaidFL
003780801MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111003000620 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8729250311 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Morton Plant Health Services IncGroup PAC ID 2163336777, 88 clinicians
Morton Plant Mease Diagnostic Cardiology LLCGroup PAC ID 0648415034, 27 clinicians

Practice addresses (Care Compare)

1840 Mease Dr
Suite 200
Safety Harbor, FL 34695-6604
Phone (727) 725-6005

2044 Trinity Oaks Blvd
Suite 125
Trinity, FL 34655-4405
Phone (727) 372-2501

2102 Trinity Oaks Blvd
Trinity, FL 34655-4409
Phone (727) 372-4000

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231

3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526

455 Pinellas St
Clearwater, FL 33756-3367

455 Pinellas St
Clearwater, FL 33756-3369

646 Virginia St
Dunedin, FL 34698-6612

6600 Madison St
Suite 2
New Port Richey, FL 34652-1971
Phone (727) 815-7207

6633 Forest Ave
New Port Richey, FL 34653-2612

8787 Bryan Dairy Rd
Largo, FL 33777-1251
Phone (727) 391-4758

8787 Bryan Dairy Rd
Suite 320
Largo, FL 33777-1256
Phone (727) 394-5901

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME107253FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morton Plant Mease Health Services Inc CurrentSince Feb 19, 2018 Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince Feb 19, 2018 Accepting new patients
Baycare Medical Group, Inc. Cardiovascular Disease CurrentSince Sep 5, 2017 Accepting new patients
Pinellas Ekg Interpreters Inc Cardiovascular Disease CurrentSince Sep 5, 2017 Accepting new patients
Morton Plant Mease Diagnostic Cardiology LLC Cardiovascular Disease CurrentSince Sep 5, 2017 Accepting new patients
Morton Plant Mease Health Services Inc Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Sep 5, 2017 Accepting new patients
Florida Cardiovascular Institute PA Cardiovascular Disease Past Accepting new patients

Locations

455 Pinellas St
Ste 330
Clearwater, FL 33756
Phone (727) 489-2550

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

646 Virginia St
Ste 200
Dunedin, FL 34698
Phone (727) 724-0425

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

8787 Bryan Dairy Rd
Ste 320
Largo, FL 33777
Phone (727) 394-5901

6633 Forest Ave
Ste 300
New Port Richey, FL 34653
Phone (727) 376-0612

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

3890 Tampa Rd
#H
Palm Harbor, FL 34684
Phone (813) 781-3164

1840 Mease Dr
Ste 200
Safety Harbor, FL 34695
Phone (727) 724-6500

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

2044 Trinity Oaks Blvd
Ste 130
Trinity, FL 34655
Phone (727) 375-0601

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: olga.kristofkuteyevamd@direct.mybaycare.org

Organizations & group practices 8

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 5

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": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942435862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10744",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337578744",
            "telephone_number": "727-532-0002",
            "fax_number": "727-266-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PINELLAS ST STE 330",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563369",
            "telephone_number": "727-724-8611",
            "fax_number": "727-724-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTOF-KUTEYEVA",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME107253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "149ZW",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003780800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003780801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.