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

Individual provider Plastic Surgery Physician · NPI 1932597416

Dr. Ornela Dervishaj Kutzke, MD is a Plastic and Reconstructive Surgery in Chevy Chase, Maryland. Qualified in 2012, 14 years ago. Practices with St Agnes Healthcare Inc, a 269-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
14
Licensed in
PA
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5530 Wisconsin Ave Ste 711
Chevy Chase, MD 20815-4401
Phone: (917) 704-0465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence MD467781 (PA)

Record details

NPI number1932597416
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 6, 2015
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice St Agnes Healthcare Inc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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