MICHAEL J KUTRYB MD PA
NPI 1902921737
Ophthalmology in Titusville, FL
About Michael J Kutryb Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL J KUTRYB MD PA (NPI 1902921737) is a healthcare organization registered as an ophthalmology in Titusville, Florida and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 9, 2028 and lists Michael J Kutryb, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael J Kutryb Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Michael J Kutryb MD PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2146957
Michael J Kutryb MD PA · Titusville, FLMedical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Kutryb Eye Institute carries, from the Medicare DMEPOS supplier directory.
Kutryb Eye Institute
DMEPOS supplier · Titusville, FLOperated by Michael J Kutryb MD PAAccepts Medicare assignment
Kutryb Eye Institute agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Michael J Kutryb MD PA's NPI number?
The NPI number for Michael J Kutryb MD PA is 1902921737. It was assigned to this organization in the NPPES registry on March 20, 2007.
Where is Michael J Kutryb MD PA located?
Michael J Kutryb MD PA is located at 730 S Washington Ave, Titusville, FL 32780. The listed phone number is (321) 267-2020.
What is Michael J Kutryb MD PA's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Michael J Kutryb MD PA enrolled in Medicare?
Yes. Michael J Kutryb MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Michael J Kutryb MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Michael J Kutryb MD PA, in Ophthalmology and Optometry. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Michael J Kutryb MD PA accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Kutryb Eye Institute accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Michael J Kutryb MD PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2146957) is associated with this NPI, valid through April 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Michael J Kutryb MD PA accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 4 other insurers list Michael J Kutryb MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Michael J Kutryb MD PA was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Michael J Kutryb Md Pa · NPI 1902921737
Ophthalmology organization in Titusville, Florida. Organization record, active in the CMS NPPES registry since March 20, 2007.
## Identity
- **NPI:** 1902921737 (Entity type: Organization)
- **Enumerated:** March 20, 2007
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Michael Kutryb, PHYSICIAN
## Practice location
- **Address:** 730 S WASHINGTON AVE, Titusville, FL 32780-4232
- **Phone:** (321) 267-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (2), Optometry (2); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2025
- **Other identifiers:** Other 12051964 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902921737) · Data from the CMS NPPES public registry.