DR. FADEE KUTOM (MD) – Pulmonary Disease Physician, NPI 1245717909

DR. FADEE KUTOM (MD) is a healthcare provider. based in Crown point, Indiana. specializing in PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. 125.072953 (IL). The NPI Number for DR. FADEE KUTOM (MD) is 1245717909

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. FADEE KUTOM (MD)
NPI
1245717909
Phone
(219) 662-3931
Address
PO BOX 1103
Enumeration Date
25 July 2018
Last Update Date
27 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2198367723
Graduation Year
2018 (8 years ago)
PAC ID
8921428277
Group Practice PAC ID
9931173937
Professional Enrollment ID
I20250619000436
Address ID
IN463212546MU8840XAVEX307
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:7State licenses:3Digital endpointsOther names

466 PULMONARY DISEASE in IN

Provider Addresses for DR. FADEE KUTOM (MD)

  • PO BOX 1103

    CROWN POINT, IN 463081103

    Phone: (219) 662-3931

    Fax: (219) 663-6359

    Type: Mailing

  • 8840 CALUMET AVE STE 206

    MUNSTER, IN 463212546

    Phone: (219) 836-7723

    Fax: (219) 836-7726

    Type: Location

  • Louis A. Weiss Memorial Hospital, 4646, North Marine Drive, Uptown, Chicago, Lake View Township, Cook County, Illinois, 60640, United States

    CHICAGO, IL 606405759

    Phone: (773) 878-8700

    Type: Mailing

  • 401 S BALLENGER HWY

    FLINT, MI 485323638

    Phone: (810) 342-2000

    Fax: (810) 342-3659

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $3,559.

Total Amount is formed as General ($3,559) + Research ($0) + Ownership ($0) = $3,559.

Last reported payment date: 2024-07-13 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,434).

Total Amount

$3,559

General + Research + Ownership

Payments

8

Total payment records

General Amount

$3,559

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250619000436IPulmonary DiseaseINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931173937View full group profile
NameSpecialtyState
Pulmonary DiseaseIN
Internal Medicine, HospitalistIN
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep MedicineIN
Pulmonary DiseaseIN

Reviews

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Frequently asked questions

Where can patients find DR. FADEE KUTOM (MD)'s NPI?
You can confirm DR. FADEE KUTOM (MD) with NPI 1245717909; it appears in the national provider directory.
Is DR. FADEE KUTOM (MD) active in the national directory?
DR. FADEE KUTOM (MD)'s public NPI profile is in an active state.
What field does DR. FADEE KUTOM (MD) work in?
You can think of DR. FADEE KUTOM (MD) as practicing within Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Does DR. FADEE KUTOM (MD) practice in Indiana?
You will see Crown Point, Indiana on file for DR. FADEE KUTOM (MD) alongside any extra practice locations.
What if Crown Point, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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