Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nutan Jyothi Vaz, MD

Individual provider Hematology & Oncology Physician · NPI 1235380643

Dr. Nutan Jyothi Vaz, MD is a Hematology/Oncology in Coon Rapids, Minnesota. Qualified in 2002, 24 years ago. Practices with Kauai Medical Clinic, a 150-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Georgia, Hawaii and Minnesota and 2 more.

Years since qualifying
24
Licensed in
FL, GA, HI, MN, MT, ND
In the registry since
2008
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

11850 Blackfoot St NW Ste 300
Coon Rapids, MN 55433-2772
Phone: (763) 236-0808
Fax: (763) 236-6065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1717 N E St, Pensacola, FL 32501-6339 — (850) 469-7975
  • 350 Heritage Way Ste 1100, Kalispell, MT 59901-3160 — (406) 752-8900
  • 2305 37th Ave Sw, Minot, ND 58701-7669 — (701) 418-8000
  • 831 S Broadway, Minot, ND 58701-4636 — (701) 418-8000

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X · Licence 78892 (MN)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence MD-24844 (HI)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 162504 (MT)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence ME113167 (FL)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence PT21148 (ND)
Internal Medicine Physician Taxonomy 207R00000X · Licence 001165 (GA)

Record details

NPI number1235380643
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2008
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Kauai Medical Clinic — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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