DR. NUTAN JYOTHI VAZ M.D.
NPI 1235380643
Internal Medicine - Medical Oncology in Coon Rapids, MN

Q: What is Nutan Vaz's NPI number?

The NPI number for Nutan Vaz is 1235380643. It was assigned to this individual provider in the NPPES registry on October 3, 2008. The provider is also known as Dr. Nutan Jyothi Vaz.

Q: What is Nutan Vaz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Q: When was this NPI record last updated?

The NPPES record for Nutan Vaz was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since October 03, 2008PECOS EnrolledAccepts Medicare Assignment

11850 BLACKFOOT ST NW STE 300, COON RAPIDS, MN 55433(763) 236-0808(763) 236-6065 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2025, May 27, 2025, Jun 3, 2024 and 1 more (4 updates tracked since 2024).

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About Dr. Nutan Jyothi Vaz M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NUTAN JYOTHI VAZ M.D. (NPI 1235380643) is an individual medical oncology provider in Coon Rapids, Minnesota, licensed in Minnesota (78892) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1235380643

Entity TypeIndividualFemale

Primary Taxonomy207RX0202X

Provider Legal NameDR. NUTAN JYOTHI VAZCredential: M.D.

Location Address11850 BLACKFOOT ST NW STE 300Coon Rapids, MN 55433-2772

Mailing Address245 W Airport BlvdPensacola, FL 32505-2254 · (850) 473-3726 · Fax (850) 505-0079

Phone(763) 236-0808

Fax(763) 236-6065

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateOctober 3, 2008

Last NPPES UpdateNovember 20, 20254 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1235380643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in MN · 78892

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal MedicineTaxonomy 207R00000X · License 001165 (GA)

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License MD-24844 (HI), 162504 (MT), ME113167 (FL), PT21148 (ND)

11850 BLACKFOOT ST NW STE 300, Coon Rapids, MN 55433

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Other Names 1

Former Name (1)Dr. Nutan Jyothi Vaz

Secondary Practice Locations 4

Location 11717 N E St, Suite 231Pensacola, FL 32501-6339 · Phone (850) 469-7975

Location 22305 37th Ave SWMinot, ND 58701-7669 · Phone (701) 418-8000

Location 3350 Heritage Way Ste 1100Kalispell, MT 59901-3160 · Phone (406) 752-8900 · Fax (406) 752-8909

Location 4831 S BroadwayMinot, ND 58701-4636 · Phone (701) 418-8000

Other Identifiers 1

Other14L7ZFL · Bcbsfl

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, HMSA, Mountain Health CO-OP and more.Insurance ›

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

Dr. Nutan Jyothi Vaz 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 ID1153587605

PECOS Enrollment IDI20250130003920, I20250902004238, I20251209004525

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.

Medicare Billing Reassignments

Medicare enrollment records show Nutan Vaz reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Platte Nebraska Hospital Corporation

467 mi

Medical Oncology

601 W LEOTA ST
North Platte, NE 69101

Reassigned Medicare billing, Nebraska enrollment
365 clinicians in this Medicare group

NPI 1134355332 (308) 568-7496

Kalispell Regional Medical Center Inc

1,002 mi

Primary Care

8299 MT HIGHWAY 35
Bigfork, MT 59911

Reassigned Medicare billing, Montana enrollment
483 clinicians in this Medicare group

NPI 1164726428 (406) 837-5541

Hospital Physician Services Of Florida PA

1,065 mi

Hospitalist

8383 N DAVIS HWY
Pensacola, FL 32514

Reassigned Medicare billing, Florida enrollment
601 clinicians in this Medicare group

NPI 1558718635 (850) 494-4000

Hilo Benioff Medical Center

3,901 mi

General Acute Care Hospital

1190 WAIANUENUE AVE
Hilo, HI 96720

Reassigned Medicare billing, Hawaii enrollment
263 clinicians in this Medicare group

NPI 1780757856 (808) 932-3000

Kauai Medical Clinic

4,006 mi

Multi-Specialty

3-3420 KUHIO HWY, SUITE B
Lihue, HI 96766

Reassigned Medicare billing, Hawaii enrollment
298 clinicians in this Medicare group

NPI 1376596643 (808) 245-1500

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 5

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.

113 services102 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.

39 services37 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.

16 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270051

Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County

Emergency services Birthing friendly

Logan Health - Whitefish

Critical Access Hospitals · Whitefish, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number271336

Location1600 Hospital WayWhitefish, MT 59937 · Flathead County

Emergency services Birthing friendly

Great Plains Health

Acute Care Hospitals · North Platte, NE

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280065

Location601 West Leota StNorth Platte, NE 69101 · Lincoln County

Emergency services Birthing friendly

Cherry County Hospital

Critical Access Hospitals · Valentine, NE

OwnershipGovernment - Local

CMS Certification Number281344

Location510 North Green StValentine, NE 69201 · Cherry County

Emergency services

Ogallala Community Hospital

Critical Access Hospitals · Ogallala, NE

OwnershipGovernment - Hospital District or Authority

CMS Certification Number281355

Location2601 North Spruce StOgallala, NE 69153 · Keith County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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.

CHELSIE NICOLE HORNER PA-C

Physician Assistant (Surgical)