KENNETH JUTZY M.D.
NPI 1073531802
Internal Medicine - Interventional Cardiology in Loma Linda, CA
About Kenneth Jutzy M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH JUTZY M.D. (NPI 1073531802) is an individual interventional cardiology provider in Loma Linda, California, licensed in California (G37876) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1977).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenneth Jutzy M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Kenneth Jutzy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loma Linda, CA 92354
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
San Bernardino, CA 92408
- Reassigned Medicare billing, California enrollment
- 455 clinicians in this Medicare group
Redlands, CA 92373
- Reassigned Medicare billing, California enrollment
- 635 clinicians in this Medicare group
Riverside, CA 92507
- Reassigned Medicare billing, California enrollment
- 336 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Jutzy's NPI number?
The NPI number for Kenneth Jutzy is 1073531802. It was assigned to this individual provider in the NPPES registry on July 18, 2006.
Where is Kenneth Jutzy located?
Kenneth Jutzy practices at 11234 Anderson St #1617, Loma Linda, CA 92354. The listed phone number is (909) 558-8591.
What is Kenneth Jutzy's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Kenneth Jutzy enrolled in Medicare?
Yes. Kenneth Jutzy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kenneth Jutzy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Jutzy reassigns Medicare benefits to 4 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA), Sac Health System (San Bernardino, CA), Beaver Medical Group P C (Redlands, CA) and County Of Riverside (Riverside, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Jutzy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenneth Jutzy was last updated on April 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kenneth Jutzy, M.D. · NPI 1073531802
Interventional Cardiology physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since July 18, 2006.
## Identity
- **NPI:** 1073531802 (Entity type: Individual)
- **Enumerated:** July 18, 2006
- **Primary specialty:** Internal Medicine - Interventional Cardiology · taxonomy 207RI0011X
- **State license:** G37876 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, #1617, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-8591
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Faculty Physicians And Surgeons Of Llusm (NPI 1245605781, Loma Linda, CA); Sac Health System (NPI 1013935915, San Bernardino, CA); Beaver Medical Group P C (NPI 1649503319, Redlands, CA); County Of Riverside (NPI 1588070833, Riverside, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 1977
## Record status
- **NPPES last updated:** April 12, 2010
- **Other identifiers:** Medicare ID-Type Unspecified 00G378760; Medicare UPIN A47264; Medicaid 00G378760 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1073531802) · Data from the CMS NPPES public registry.