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DR. THEODORE KUTZY M.D.
NPI 1619051026
Internal Medicine - Hospice and Palliative Medicine in Yonkers, NY

Active since October 24, 2006PECOS Enrolled
119 DEHAVEN DR, UNIT 133, YONKERS, NY 10703(914) 613-8784 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Theodore Kutzy M.d. NPPES

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

DR. THEODORE KUTZY M.D. (NPI 1619051026) is an individual hospice and palliative medicine provider in Yonkers, New York, licensed in Connecticut (57200) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619051026
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameDR. THEODORE KUTZYCredential: M.D.
Location Address119 DEHAVEN DR, UNIT 133Yonkers, NY 10703-1349
Mailing Address119 Dehaven Dr, Unit 133Yonkers, NY 10703-1349 · (914) 613-8784
Phone(914) 613-8784
Sole ProprietorYes
Enumeration DateOctober 24, 2006
Last NPPES UpdateDecember 7, 2017
✔ NPI 1619051026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in CT · 57200
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 234789 (NY)
119 DEHAVEN DR, Yonkers, NY 10703
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore Kutzy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Theodore Kutzy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Partners Medical Group, PLLC
290 mi
Geriatric Medicine
2700 N FOREST RD
Getzville, NY 14068
  • Reassigned Medicare billing, New York enrollment
  • 46 clinicians in this Medicare group
NPI 1184305153 (716) 639-3311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KENSEENER CARPENTER LCSW
Social Worker
119 DEHAVEN DR
YONKERS, NY 10703
Westchester County (914) 635-2687

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 Theodore Kutzy's NPI number?

The NPI number for Theodore Kutzy is 1619051026. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Theodore Kutzy located?

Theodore Kutzy practices at 119 Dehaven Dr Unit 133, Yonkers, NY 10703. The listed phone number is (914) 613-8784.

What is Theodore Kutzy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Theodore Kutzy enrolled in Medicare?

Yes. Theodore Kutzy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theodore Kutzy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Kutzy reassigns Medicare benefits to Partners Medical Group, PLLC (Getzville, NY). The 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 Theodore Kutzy'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 Theodore Kutzy was last updated on December 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.