KENNETH JUTZY M.D.
NPI 1073531802
Internal Medicine - Interventional Cardiology in Loma Linda, CA

Q: 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.

Q: What is Kenneth Jutzy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Jutzy was last updated on April 12, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment

11234 ANDERSON ST, #1617, LOMA LINDA, CA 92354(909) 558-8591 Get Directions Write a Review

NPPES record last updated: April 12, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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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

NPI1073531802

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameKENNETH JUTZYCredential: M.D.

Location Address11234 ANDERSON ST, #1617Loma Linda, CA 92354-2804

Mailing AddressFile # 54701Los Angeles, CA 90074-4701 · (909) 558-3111

Phone(909) 558-8591

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 1977

Enumeration DateJuly 18, 2006

Last NPPES UpdateApril 12, 2010

✔ NPI 1073531802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in CA · G37876

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License G37876 (CA)

11234 ANDERSON ST, Loma Linda, CA 92354

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Other Identifiers 3

Medicare ID-Type Unspecified00G378760

Medicare UPINA47264

Medicaid00G378760CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8123917036

PECOS Enrollment IDI20080620000426

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

354 services194 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

211 services179 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

118 services118 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

91 services75 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

34 services34 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

33 services33 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

26 services26 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

25 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

15 services15 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

15 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

11 services11 patients

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.

New Patient

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$14.90 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$69.43 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LEIGH ANN BALLOU PA-C

Physician Assistant (Surgical)

11234 ANDERSON ST, RM 2562B
LOMA LINDA, CA 92354

San Bernardino County (909) 558-6386

DR. TOMMY YOUNGHO KIM M.D.

Pediatrics (Pediatric Emergency Medicine)

11234 ANDERSON ST, A 108
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4000

DR. GARY Y YANG MD

Radiology (Radiation Oncology)

11234 ANDERSON ST, SUITE B-121
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4244

MRS. JEANNINE SHARKEY N.P.

Nurse Practitioner (Pediatrics)

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4000

LOMA LINDA UNIVERSITY CARDIOLOGY MEDICAL GROUP, INC.

Internal Medicine (Cardiovascular Disease)

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4200

JANELLE MARIE WARREN NP

Nurse Practitioner

11234 ANDERSON ST, ROOM 6700H
LOMA LINDA, CA 92354

San Bernardino County (909) 558-8514

LOMA LINDA UNIV ANESTHESIOLOGY MEDICAL GROUP INC

Anesthesiology

11234 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4475

LOMA LINDA UNIVERSITY PHYSICIANS MEDICAL GROUP INC

Internal Medicine

11234 ANDERSON ST, STE.1405
LOMA LINDA, CA 92354

San Bernardino County (909) 558-8762

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.

When was this NPI record last updated?

The NPPES record for Kenneth Jutzy was last updated on April 12, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.